Individual
SHAE LESLIE DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(317) 670-3988
Mailing address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(317) 670-3988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007084A
IN
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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