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1235655101
SHANNEL EZEDI
BEAUFORT, SC
NPI
1235655101
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Former Name
SHANNEL EZEDI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-22
Last Update Date
2018-03-17
Business Address
SHANNEL EZEDI LPCI
1050 RIBAUT RD
BEAUFORT, SC 29902-5400
Phone number: 857-540-2095
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Mailing Address
SHANNEL EZEDI LPCI
1050 RIBAUT RD
BEAUFORT, SC 29902-3679
Phone number: 843-473-6355
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