SHANNON HENTRUP

LOUISVILLE, KY
NPI1710615919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  46004164A)
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
SHANNON HENTRUP
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
Mailing Address
SHANNON HENTRUP
621 E 20TH ST
FERDINAND, IN 47532-9220
Phone number: 812-639-7745
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