Individual
MRS. SHANNON AILEEN CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
720 STONERIDGE DR, SUITE # 2, BOZEMAN, MT 59718-7032
(406) 556-9853
Mailing address
40 HITCHING POST RD, BOZEMAN, MT 59715-9241
(406) 223-4080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1123
MT
Other
Enumeration date
10/28/2008
Last updated
03/09/2011
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