Individual
SHAWNA GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC, NCC
Contact information
Practice address
1911 GADSDEN ST STE 204, COLUMBIA, SC 29201-6400
(803) 254-9767
Mailing address
1911 GADSDEN ST STE 204, COLUMBIA, SC 29201-6400
(803) 254-9767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5636
SC
Other
Enumeration date
10/24/2013
Last updated
01/25/2014
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