Individual
MRS. SHANNON MARIE SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7051 KEOWEE SCHOOL RD, SENECA, SC 29672-0523
(864) 886-4475
Mailing address
7051 KEOWEE SCHOOL RD, SENECA, SC 29672-0523
(864) 886-4475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4417
SC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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