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Individual

SHANI NICOLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 GERVAIS ST UNIT 2B, COLUMBIA, SC 29201-3125
(229) 563-1954
Mailing address
801 GERVAIS ST UNIT 2B, COLUMBIA, SC 29201-3125
(229) 563-1954

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10839
SC

Other

Enumeration date
01/23/2026
Last updated
01/23/2026
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