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1205215407
SHANNON ELYSE BOTHWELL
INDIANAPOLIS, IN
NPI
1205215407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 46002739A)
Enumeration Date
2015-05-21
Last Update Date
2015-05-21
Business Address
-- SHANNON ELYSE BOTHWELL M.S. SLP-CFY
6239 S EAST ST STE A
INDIANAPOLIS, IN 46227-2088
Phone number: 317-442-4734
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Mailing Address
-- SHANNON ELYSE BOTHWELL M.S. SLP-CFY
11236 N US HIGHWAY 231
ODON, IN 47562-5602
Phone number: 812-486-8596
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