Individual
LAURA TERESE SHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 OLD MOUNT HOLLY RD STE 300, GOOSE CREEK, SC 29445-2832
(843) 501-1099
Mailing address
96 SOUTH ST, WARE, MA 01082-1616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
7058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
05/18/2011
Last updated
05/15/2024
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