Individual
SHANNON BELOUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 CLIFTON GLENDALE ROAD, GLENDALE, SC 29346
(864) 279-6019
Mailing address
3535 CLIFTON GLENDALE ROAD, GLENDALE, SC 29346
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159753
—
SC
Enumeration date
06/13/2013
Last updated
06/13/2013
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