Individual
SHANNON FREEBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
851 WERNER CT STE 100, CASPER, WY 82601-1308
(307) 575-2405
Mailing address
504 E 13TH ST, CASPER, WY 82601-4347
(307) 575-2405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-599
WY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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