Individual
SHANEE M JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6199
(803) 895-6201
Mailing address
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152-5100
(803) 895-6199
(803) 895-6220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103309
OH
104100000X
Social Worker
S.1700280
OH
1041C0700X
Clinical Social Worker
I.2103309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
01/24/2018
Last updated
06/18/2026
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