Shannon Denise South, MA,, THD, LPC

NPI #1053460402 in Asheville, North Carolina

Provider Information

NPI Number: 1053460402
Entity Type: Individual
Name: Shannon Denise South, MA,, THD, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MA,, THD, LPC
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 ZILLICOA ST
City: Asheville
State: North Carolina
ZIP Code: 28801-1038
Phone: (828) 230-5477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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