Individual
MRS. GWENDOLYN SPANN SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, CP
Contact information
Practice address
430 ALBERT ST, 410 CEDAR LN., BISHOPVILLE, SC 29010-1202
(443) 857-1248
(803) 843-1410
Mailing address
430 ALBERT ST, PO BOX 282, BISHOPVILLE, SC 29010-1202
(443) 857-1248
(803) 483-1410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9089
SC
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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