Individual
MRS. SHANNON DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBSS
Contact information
Practice address
200 TOWER CIR, SOMERSET, KY 42503-3480
(606) 416-5139
Mailing address
200 TOWER CIR, SOMERSET, KY 42503-3480
(606) 416-5139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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