Individual
MS. SUE E SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7 GAMECOCK AVE, SUITE 710, CHARLESTON, SC 29407-3379
(843) 763-9005
(843) 763-9005
Mailing address
1011 BIRCHDALE DR, CHARLESTON, SC 29412-8801
(843) 763-9005
(843) 763-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
730
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0197
—
SC
Enumeration date
01/18/2006
Last updated
08/26/2010
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