Individual
MRS. SHANNON L. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
609 PERSHING DR, SILVER SPRING, MD 20910-4319
(407) 455-0402
Mailing address
609 PERSHING DR, SILVER SPRING, MD 20910-4319
(407) 455-0402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9041
FL
Other
Enumeration date
07/10/2019
Last updated
08/12/2021
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