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Organization
LEE SPECIALISTS LLC
Active
Organization
LEE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON INTELISANO MA CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(440) 221-4296
Entity
Organization
Contact information
Practice address
15796 GEORGIA RD, MIDDLEFIELD, OH 44062-9261
(440) 221-4296
Mailing address
15796 GEORGIA RD, MIDDLEFIELD, OH 44062-9261
(440) 221-4296
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/24/2022
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