Individual
SHANTA LYNETTE MCCLENAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSH
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 329-5725
Mailing address
PO BOX 876, ROEBUCK, SC 29376-0876
(864) 329-5725
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1295
SC
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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