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1316477987
SHANNON MARIE THOMAS
CHARLOTTE, NC
NPI
1316477987
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Former Name
SHANNON MARIE KENNEALLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 4399)
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
SHANNON MARIE THOMAS SLP, MSP-CCC
8919 PARK RD
CHARLOTTE, NC 28210-9600
Phone number: 704-551-6800
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Mailing Address
SHANNON MARIE THOMAS SLP, MSP-CCC
9921 HOLLY CENTER DR APT 314
HUNTERSVILLE, NC 28078-5154
Phone number: 704-728-9991
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