Individual
SHANNAN L HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9677 SE WINSOR DR, MILWAUKIE, OR 97222-8203
(248) 436-4400
Mailing address
9677 SE WINSOR DR, MILWAUKIE, OR 97222-8203
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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