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1114499159
TAKENYA SHANNON
ROCK HILL, SC
NPI
1114499159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
TAKENYA SHANNON
199 S HERLONG AVE
ROCK HILL, SC 29732-1186
Phone number: 803-233-6394
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Mailing Address
TAKENYA SHANNON
552 EARL CAUTHEN RD
HEATH SPRINGS, SC 29058-9234
Phone number: 803-577-9044
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