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Individual

SHANNON WOODLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
2850 ARTESIA BLVD STE 107, REDONDO BEACH, CA 90278-3412
(424) 275-9968
Mailing address
7 ANDORRA, LAGUNA NIGUEL, CA 92677-9019
(949) 533-9238

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5147
SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING AID BOARD
CA
Enumeration date
10/09/2018
Last updated
10/09/2018
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