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1831332808
SHANNON L LOCKE
NIXA, MO
NPI
1831332808
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Former Name
SHANNON L CARTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MO 2000152074)
Enumeration Date
2009-04-07
Last Update Date
2015-07-04
Business Address
-- SHANNON L LOCKE MS CCC SLP
504 N GASCONADE CT
NIXA, MO 65714-8134
Phone number: 417-818-0735
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Mailing Address
-- SHANNON L LOCKE MS CCC SLP
504 N GASCONADE CT
NIXA, MO 65714-8134
Phone number: 417-818-0735
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