Individual
SHELBY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
114 SUMMER PINES DR, BLYTHEWOOD, SC 29016-9614
(843) 614-2191
Mailing address
114 SUMMER PINES DR, BLYTHEWOOD, SC 29016-9614
(843) 614-2181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15693
SC
Other
Enumeration date
07/25/2017
Last updated
08/16/2024
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