Individual
MISS SHANICE LAVON HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP II, LPES
Contact information
Practice address
1516 S LANGLEY DR, FLORENCE, SC 29501-6149
(843) 621-0263
(843) 536-8522
Mailing address
1520 HERITAGE LN APT F6, FLORENCE, SC 29505-3144
(843) 373-8748
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4750
SC
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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