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Individual
SHANNON KAMMHOLZ
Active
Individual
SHANNON KAMMHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
26569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8089848
SELF
CA
Enumeration date
11/10/2014
Last updated
06/08/2025
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