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1942935036
SHANE PAUL FLETCHER
CHARLESTON AFB, SC
NPI
1942935036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904010701)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
SHANE PAUL FLETCHER LCSW
204 W HILL BLVD BLDG 1000
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6852
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Mailing Address
SHANE PAUL FLETCHER LCSW
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number:
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