Individual
MR. STUART J. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096
Mailing address
1099 TOOK PL, FLORENCE, SC 29505-6491
(843) 669-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
11/06/2006
Last updated
07/08/2007
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