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1013255538
BEVERLY B SHELTON
SPARTANBURG, SC
NPI
1013255538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC 11121216)
Enumeration Date
2013-01-17
Last Update Date
2013-01-17
Business Address
Mrs. BEVERLY B SHELTON CACII
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
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Mailing Address
Mrs. BEVERLY B SHELTON CACII
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
Copy
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