SHATIRA EBONY CHAMPION

ORANGEBURG, SC
NPI1154679470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-08-16
Last Update Date2022-05-27
Business Address
SHATIRA EBONY CHAMPION MA
2822 CHARLESTON HWY
ORANGEBURG, SC 29115-9210
Phone number: 386-631-6052
Mailing Address
SHATIRA EBONY CHAMPION MA
2822 CHARLESTON HWY
ORANGEBURG, SC 29115-9210
Phone number: 386-631-6052
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