Individual
SHAIDA BLACKMON LEMOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 PATEWOOD DR STE A100, GREENVILLE, SC 29615-6302
(864) 454-5612
(864) 454-5121
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10808
SC
1041C0700X
Clinical Social Worker
Primary
10808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1754
—
SC
Enumeration date
05/04/2015
Last updated
12/21/2022
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