Individual
SHANTA LATRICE CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 N DENNIS AVE, BISHOPVILLE, SC 29010-1437
(803) 484-9475
Mailing address
603 N DENNIS AVE, BISHOPVILLE, SC 29010-1437
(803) 484-9475
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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