Individual
SHANNON N BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 INTERTECH DR, ANGOLA, IN 46703-7325
(260) 665-9494
Mailing address
PO BOX 817, KENDALLVILLE, IN 46755-0817
(260) 347-2453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88002080A
IN
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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