LATAISHA SHAW

MYRTLE BEACH, SC
NPI1770254211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
LATAISHA SHAW
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 843-903-6212
Mailing Address
LATAISHA SHAW
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number:
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