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1750966958
SHANICE LAVON HANNAH
FLORENCE, SC
NPI
1750966958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: SC 4750)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
MISS SHANICE LAVON HANNAH SSP II, LPES
1516 S LANGLEY DR
FLORENCE, SC 29501-6149
Phone number: 843-621-0263
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Mailing Address
MISS SHANICE LAVON HANNAH SSP II, LPES
1520 HERITAGE LN APT F6
FLORENCE, SC 29505-3144
Phone number: 843-373-8748
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