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1396011318
SHANNON WILSON
BETHLEHEM, PA
NPI
1396011318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL009333)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
-- SHANNON WILSON M.S. CCC/SLP/L
3005 BRODHEAD RD SUITE 282
BETHLEHEM, PA 18020-9201
Phone number: 484-426-7807
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Mailing Address
-- SHANNON WILSON M.S. CCC/SLP/L
834 N FORK DR
EASTON, PA 18040-7471
Phone number: 484-426-7807
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