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SHELDRIC DEMOND DUNLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
207 COMMERCE AVE., CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512-0918
(843) 454-0841
(843) 454-0635

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376241
SC
05
405127
SC
Enumeration date
04/24/2007
Last updated
02/04/2014
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