Individual
SHAQUANA SHERRELLE ANTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Mailing address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 454-0442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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