Individual
MRS. SHANNON PLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
378 PROSPECT ST, BARRE, VT 05641-5421
(802) 476-4166
Mailing address
118 DELMONT AVE, BARRE, VT 05641-3215
(802) 734-0805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0115343
VT
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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