Individual
BETTIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 LAWRENCE ST, SUMTER, SC 29150
(803) 883-4392
Mailing address
210 LAWRENCE ST, SUMTER, SC 29150-2682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008101411
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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