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Individual

MISS SHELBY LEIGH MASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2315 N MAIN ST, SUITE 212, ANDERSON, SC 29621-3880
(704) 777-8504
Mailing address
2315 N MAIN ST, SUITE 212, ANDERSON, SC 29621-3880
(704) 777-8504

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/17/2015
Last updated
12/17/2015
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