Individual
SHIQUILLA SHENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
417 REFLECTION DR, ANDERSON, SC 29625-2882
(864) 309-5547
Mailing address
417 REFLECTION DR, ANDERSON, SC 29625-2882
(864) 309-5547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16433
SC
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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