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1841048204
SHAWN GILLENS
COLUMBIA, SC
NPI
1841048204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 8193)
Enumeration Date
2024-05-10
Last Update Date
2024-05-10
Business Address
Mr. SHAWN GILLENS M. A. CCC-SLP
1401 FARRINGTON WAY APT B
COLUMBIA, SC 29210-6076
Phone number: 803-546-6227
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Mailing Address
Mr. SHAWN GILLENS M. A. CCC-SLP
PO BOX 21246
COLUMBIA, SC 29221-1246
Phone number: 803-546-6227
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