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1043620651
SHANTEL EDMONDS
COLUMBIA, SC
NPI
1043620651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004978)
Enumeration Date
2014-05-05
Last Update Date
2015-06-28
Business Address
-- SHANTEL EDMONDS
6439 GARNERS FERRY RD ROUTE 116
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
-- SHANTEL EDMONDS
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number:
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