Individual
MRS. SHAWNTA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 BAKER ST N, BLACKVILLE, SC 29817-2431
(802) 290-7298
Mailing address
337 BAKER ST N, BLACKVILLE, SC 29817-2431
(802) 290-7298
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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