MICAH SHANNON

FORT WAYNE, IN
NPI1376340711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-02-25
Last Update Date2025-02-25
Business Address
MICAH SHANNON
2270 LAKE AVE
FORT WAYNE, IN 46805-5359
Phone number: 260-444-5649
Mailing Address
MICAH SHANNON
2270 LAKE AVE
FORT WAYNE, IN 46805-5359
Phone number: 260-444-5649
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