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Individual
SHANNON MICHELLE BOWLING
Active
Individual
SHANNON MICHELLE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103101
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103101
STATE LICENSE
TX
Enumeration date
10/12/2006
Last updated
02/13/2015
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