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1386180776
SHANNON MOODY
BROOKLYN, NY
NPI
1386180776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 026355)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- SHANNON MOODY M.S., CCC-SLP
125 COVERT ST
BROOKLYN, NY 11207-1101
Phone number: 718-455-0180
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Mailing Address
-- SHANNON MOODY M.S., CCC-SLP
125 COVERT ST
BROOKLYN, NY 11207-1101
Phone number: 718-455-0180
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