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Shannon
Shannon
Henry
Speech-language pathology assistant
Azalea Park, United States
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Florida Health Care Practitioner Data Portal
Full name
Shannon Henry
Job Title
Speech-Language Pathology Assistant
Location
Azalea Park, FL, USA
LIC ID
7551
Current License Expiration Date
31/12/2025
Original Date
27/01/2023
Professional Rank Code
SI
Effective Date
27/01/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Mailing Address Line 2
Apt 160
Practice Location Address Line 1
525 S Conway Rd Apt 160
Practice Location Address City
AZALEA PARK
Practice Location Address State
FL
Practice Location Address Zipcode
32807
Prescribing Indicator
N
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