Individual
SHANNON NEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-4891
Mailing address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP- 0548
WV
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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