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Individual
MS. SHANNON M ANDERSON
Active
Individual
MS. SHANNON M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP/L
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016898
NY
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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