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1710258678
SHANNON ELIZABETH PHILLIPS
COLUMBIA, SC
NPI
1710258678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TX 20059080)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
MISS SHANNON ELIZABETH PHILLIPS
2638 TWO NOTCH RD SUITE 106
COLUMBIA, SC 29204-1454
Phone number: 803-898-0210
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Mailing Address
MISS SHANNON ELIZABETH PHILLIPS
1051 SOUTHERN DR # 2709
COLUMBIA, SC 29201-5189
Phone number: 972-898-8505
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