SHANNON BLACKSTONE

CHARLESTON, SC
NPI1164732616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
Additional Taxonomies235Z00000X Speech-Language Pathologist
(Licence: SC  4673)
Enumeration Date2010-10-18
Last Update Date2019-07-15
Business Address
SHANNON BLACKSTONE
33 PERCY ST APT B
CHARLESTON, SC 29403-5957
Phone number: 803-212-8971
Mailing Address
SHANNON BLACKSTONE
221 STALLSVILLE RD
SUMMERVILLE, SC 29485-4934
Phone number:
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