Individual
SHANNON V MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503-2730
(907) 644-0890
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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