Individual
GIA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 ALLEN RD, STOW, OH 44224-1032
(330) 689-5200
Mailing address
4248 WILLIAMSBURG DR, STOW, OH 44224-2892
(330) 414-4607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.8980
OH
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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