# FARA SHAWN MINNICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477317915
- **Gender:** F
- **Credential:** SLP-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | 2015005972 | MO | Yes |

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/06/2024