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Individual

SHATONNA GILYARD SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
576000922
SC
Enumeration date
04/19/2016
Last updated
02/19/2026
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