Individual
ERIN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CURRY LN, GREEN BAY, WI 54311-5857
(920) 288-0042
Mailing address
1668 W MAIN CIR APT 40, DE PERE, WI 54115-6828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4592-154
WI
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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