Individual
SHANNA DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 E ROBINSON ST, GAFFNEY, SC 29340-2444
(864) 487-2710
Mailing address
1100 KEATS DR APT 1125, SPARTANBURG, SC 29301-4979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9238
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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