SHANNON WHITE

JEFFERSON CITY, MO
NPI1639392012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  provisional)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- SHANNON WHITE
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
Mailing Address
-- SHANNON WHITE
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
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