Individual
SHANNON BOELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
36 HERON LN, FALLING WATERS, WV 25419-4022
(814) 341-4890
Mailing address
36 HERON LN, FALLING WATERS, WV 25419-4022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1889
WV
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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