Individual
JENNIFER KATHLEEN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 WILLOWROW AVE NE, CANTON, OH 44705-3612
(330) 438-3090
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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