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1770961641
KATHY SHANER
BARNWELL, SC
NPI
1770961641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-12
Last Update Date
2015-05-12
Business Address
-- KATHY SHANER
1644 JACKSON ST
BARNWELL, SC 29812-2156
Phone number: 803-541-1245
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Mailing Address
-- KATHY SHANER
1644 JACKSON ST
BARNWELL, SC 29812-2156
Phone number:
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