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Individual
MRS. SHANNON SOMERS
Active
Individual
MRS. SHANNON SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.008780
IL
235Z00000X
Speech-Language Pathologist
Primary
146008780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12132012
ASHA CERTIFICATION NUMBER
IL
Enumeration date
03/07/2007
Last updated
05/25/2021
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