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1811136708
SHANNON L WHITACRE
TONAWANDA, NY
NPI
1811136708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012425-1)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- SHANNON L WHITACRE
2545 SHERIDAN DRIVE
TONAWANDA, NY 14150
Phone number: 716-833-4884
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Mailing Address
-- SHANNON L WHITACRE
120 LAMSON RD
TONAWANDA, NY 14223-2537
Phone number: 716-316-8392
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