SHANNON RAE THROGMORTON

CARBONDALE, IL
NPI1205592938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146014604)
Enumeration Date2021-11-17
Last Update Date2021-11-17
Business Address
SHANNON RAE THROGMORTON
955 VILLA CT
CARBONDALE, IL 62901-6001
Phone number: 618-351-7955
Mailing Address
SHANNON RAE THROGMORTON
7730 CARONDELET AVE
CLAYTON, MO 63105-3314
Phone number: 844-502-7996
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