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1245623768
SHAVONNA SIMMONS
CHARLESTON, SC
NPI
1245623768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 1138)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
-- SHAVONNA SIMMONS
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
-- SHAVONNA SIMMONS
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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