SHANNON BLACKSTONE

CHARLESTON, SC
NPI1164732616
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  4673)
Enumeration Date2010-10-18
Last Update Date2025-09-29
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: