Individual
ANGIE MARIE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MILL ST, CAMDEN, SC 29020-4738
(803) 432-6902
(803) 432-6890
Mailing address
1909 HILTON ST, CAMDEN, SC 29020-3108
(803) 427-8564
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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