Individual
DISHEMA S. SHULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 MANGUM CIR, MOORESVILLE, NC 28117-6916
(803) 290-3081
Mailing address
136 MANGUM CIR, MOORESVILLE, NC 28117-6916
(803) 290-3081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C008432
NC
104100000X
Social Worker
C008432
NC
1041C0700X
Clinical Social Worker
Primary
C008432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982026282
ORGANIZATION
NC
Enumeration date
04/19/2012
Last updated
10/21/2020
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