Individual
JACQUALYN D SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 AUDLEY AVE APT 4, BOWLING GREEN, KY 42101-4489
(615) 423-5017
Mailing address
325 AUDLEY AVE APT 4, BOWLING GREEN, KY 42101-4489
(615) 423-5017
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201237255
KY
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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