Individual
SHANNON BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4782 HOSPITAL DR, CASS CITY, MI 48726
(989) 872-2174
Mailing address
4782 HOSPITAL DR, CASS CITY, MI 48726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002221
MI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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