SHANNON WHITE

EAGLE, ID
NPI1598163297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  1074)
Enumeration Date2014-12-11
Last Update Date2014-12-11
Business Address
-- SHANNON WHITE
2264 E FAUNHILL DR
EAGLE, ID 83616-6625
Phone number: 208-422-1113
Mailing Address
-- SHANNON WHITE
2264 E FAUNHILL DR
EAGLE, ID 83616-6625
Phone number:
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