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Individual

MRS. SHANNON ROPER ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-CP

Contact information

Practice address
324 E SAINT JOHN ST, SPARTANBURG, SC 29302-1505
(864) 278-0070
Mailing address
324 E SAINT JOHN ST, SPARTANBURG, SC 29302-1505

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12035
SC
101YP2500X
Professional Counselor
Primary
SC12035
SC

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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