Individual
SHANNON S WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 DODDS CT, BURLINGTON, VT 05408-2648
(802) 864-0945
Mailing address
165 DODDS CT, BURLINGTON, VT 05408-2648
(802) 864-0945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8030051
VT
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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