Individual
SHANNON HAUSSERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 4TH AVE STE 2, KEARNEY, NE 68845-2883
(308) 237-1102
(308) 234-5712
Mailing address
4111 4TH AVE STE 2, KEARNEY, NE 68845-2883
(308) 237-1102
(308) 234-5712
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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