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1326530098
SHANNON ALEXANDRA STANLEY
DECATUR, GA
NPI
1326530098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006272)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
SHANNON ALEXANDRA STANLEY MHSOT, OTR/L
341 WINN WAY
DECATUR, GA 30030-2120
Phone number: 404-341-4282
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Mailing Address
SHANNON ALEXANDRA STANLEY MHSOT, OTR/L
54 WALTHALL ST NE
ATLANTA, GA 30307-2623
Phone number: 912-293-5869
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