Tara Alicia Shannon
NPI #1023299757 in Billerica, Massachusetts
Provider Information
- NPI Number
- 1023299757
- Entity Type
- Individual
- Name
- Tara Alicia Shannon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Nov 22, 2007
- Last Updated
- Nov 22, 2007
Practice Location
- Address
- 35 RIVER ST
- City
- Billerica
- State
- Massachusetts
- ZIP Code
- 01821-1827
- Phone
- (978) 436-9405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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