Individual
SHANNON AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 SHALLCROSS AVE, WILMINGTON, DE 19806-3235
(302) 898-7711
Mailing address
1004 SHALLCROSS AVE, WILMINGTON, DE 19806-3235
(302) 898-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
10/21/2016
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