Individual
MRS. SHANNON R DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2356 FREEDOM BLVD, APT. #C8, FLORENCE, SC 29505-6093
(240) 446-1908
Mailing address
2356 FREEDOM BLVD, APT. #C8, FLORENCE, SC 29505-6093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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