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Individual

MRS. SHANNA MARIE MAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP, LAC

Contact information

Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6356
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6356

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
455
SC
1041C0700X
Clinical Social Worker
Primary
11249
SC

Other

Enumeration date
06/09/2015
Last updated
02/24/2026
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