Individual
SHANNON MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-6000
Mailing address
50 WANDA ST APT 4, NARRAGANSETT, RI 02882-3335
(401) 862-7167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01419
RI
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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