Individual
MS. SHAIENNA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW-A
Contact information
Practice address
404 CABIN DR, IRMO, SC 29063-7873
(803) 602-4142
Mailing address
404 CABIN DR, IRMO, SC 29063-7873
(803) 602-4142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15421
SC
1041C0700X
Clinical Social Worker
P020169
NC
Other
Enumeration date
09/26/2022
Last updated
09/23/2025
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