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Individual

MISS MEGAN A SHANNAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, SLP

Contact information

Practice address
207 W GEORGIA AVE STE 170, NAMPA, ID 83686
(208) 467-1069
Mailing address
207 W GEORGIA AVE STE 170, NAMPA, ID 83686-3024
(208) 467-1069

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ID

Other

Enumeration date
07/21/2017
Last updated
08/08/2018
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