Individual
MS. SHANNON HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
30 LIBBY ST, PORTLAND, ME 04103-1925
(207) 899-3170
Mailing address
30 LIBBY ST, PORTLAND, ME 04103-1925
(207) 899-3170
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
235Z00000X
ME
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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