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Individual
SHANNON MJ MILLER
Active
Individual
SHANNON MJ MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2010076-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP9750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366774028
—
OH
Enumeration date
02/05/2010
Last updated
03/17/2018
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