Individual
SHANNON KATHERINE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCCSLP
Contact information
Practice address
20 COLES GROVE RD, DERRY, NH 03038-4038
(603) 321-0117
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0681
NH
Other
Enumeration date
03/08/2012
Last updated
11/30/2021
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