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1962494336
SHANNON RENE' DAVIS
JACKSONVILLE, FL
NPI
1962494336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA14524)
Enumeration Date
2005-08-22
Last Update Date
2016-05-16
Business Address
Mrs. SHANNON RENE' DAVIS M.Ed., CCC-SLP
14785 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-2496
Phone number: 904-292-1808
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Mailing Address
Mrs. SHANNON RENE' DAVIS M.Ed., CCC-SLP
14785 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258-2496
Phone number: 904-292-1808
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