Individual
JANELLE RENAY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2515 MARSHALL AVE, LORAIN, OH 44052-4337
(440) 830-4130
Mailing address
1320 W 18TH ST, LORAIN, OH 44052-3914
(440) 654-8253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20242754-SP
OH
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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