Individual
MRS. MARY KRISTEN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
10269 GREENFIELD CIR, PARKER, CO 80134-3773
(303) 229-4773
Mailing address
10269 GREENFIELD CIR, PARKER, CO 80134-3773
(303) 229-4773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09145091
CO
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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