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1538894480
SHANNON MARIE CARROTHERS
MERIDIAN, ID
NPI
1538894480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-4776)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
SHANNON MARIE CARROTHERS
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5000
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Mailing Address
SHANNON MARIE CARROTHERS
7578 W SAXTON DR APT 303
BOISE, ID 83714-5176
Phone number:
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