Provider Information for 1477785426
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Ms. SHENELLE ELIZABETH BOWMAN LPC-I
Sex: Female
NPI: 1477785426
Last Updated: 2009-08-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1477785426 | ||||||||
| Enumeration Date | 2009-08-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 814 CATAWBA CIR COLUMBIA, SC 29201-5253 United States Phone: 803-530-3199 | Fax: | ||||||||
| Primary Practice Address | 814 CATAWBA CIR COLUMBIA, SC 29201-5253 United States Phone: 803-530-3199 | Fax: | ||||||||
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