Shannon Petersen
NPI #1376099077 in Coral Springs, Florida
Provider Information
- NPI Number
- 1376099077
- Entity Type
- Individual
- Name
- Shannon Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 7983 NW 35TH CT
- City
- Coral Springs
- State
- Florida
- ZIP Code
- 33065-3015
- Phone
- (954) 630-6879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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