Individual
JANET S. SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
510 RIVERS TURN RD, ORANGEBURG, SC 29115-9689
(803) 533-0078
Mailing address
510 RIVERS TURN RD, ORANGEBURG, SC 29115-9689
(803) 533-0078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3210
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0663
—
SC
Enumeration date
03/26/2008
Last updated
03/26/2008
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