Individual
SHANNON MARIE LEUPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1011 10TH AVE SE, OLYMPIA, WA 98501-1566
(360) 360-5366
Mailing address
8002 TROUT CT SE, TENINO, WA 98589-9516
(360) 359-3316
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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