Individual
MRS. SHANNON RENEE BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3236 HAMPTON ST, ASHLAND, KY 41101-4034
(859) 983-8132
(606) 393-3356
Mailing address
3236 HAMPTON ST, ASHLAND, KY 41101-4034
(859) 983-8132
(606) 393-3356
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
05/27/2020
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