Individual
SHANNON EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9237 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9189
(843) 789-6400
(843) 572-1931
Mailing address
9237 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9189
(843) 789-6400
(843) 572-1931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9262
SC
104100000X
Social Worker
Primary
9262
SC
Other
Enumeration date
08/23/2018
Last updated
11/19/2018
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