GEOCONDA SHAWNTE GREEN

CONWAY, SC
NPI1750305751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- GEOCONDA SHAWNTE GREEN
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- GEOCONDA SHAWNTE GREEN
685 BURCALE RD APT C3
MYRTLE BEACH, SC 29579-8320
Phone number: 843-340-5309
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