Individual
SHANNON HOLTROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC, LGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
196
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032673
—
TN
Enumeration date
07/28/2017
Last updated
12/29/2017
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