Individual
MS. SHANNON BROOKE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 FERNWOOD STREET, NORTH ANDOVER, MA 01845
(978) 273-7687
Mailing address
19 FERNWOOD STREET, NORTH ANDOVER, MA 01845
(978) 273-7687
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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