Individual
SHANNON DENISE SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,, THD, LPC
Contact information
Practice address
1 ZILLICOA ST, ASHEVILLE, NC 28801-1038
(828) 230-5477
Mailing address
53 PENNSYLVANIA AVE, ASHEVILLE, NC 28806-4150
(828) 230-5477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2954
NC
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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