Individual
SHANNON NICOLE AIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 PROFESSIONAL PARK RD, CLINTON, SC 29325-7626
(864) 938-0912
(864) 938-0926
Mailing address
442 PROFESSIONAL PARK RD, CLINTON, SC 29325-7626
(864) 938-0912
(864) 938-0926
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
Enumeration date
05/23/2008
Last updated
07/20/2012
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