| NPI | 1568018349 |
|---|---|
| Doing Business As | SHANNON L DEITCH |
| Entity Type | Organization |
| Authorized Contact | SHANNON DEITCH Owner 346-774-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-01-24 |