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1427504968
SHANNON BIRTWISTLE
SAINT LOUIS, MO
NPI
1427504968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2009009266)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- SHANNON BIRTWISTLE
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number: 314-989-8150
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Mailing Address
-- SHANNON BIRTWISTLE
12110 CLAYTON RD
SAINT LOUIS, MO 63131-2516
Phone number:
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