Shannon Black

NPI #1588345383 in Kingstree, South Carolina

Provider Information

NPI Number: 1588345383
Entity Type: Individual
Name: Shannon Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Jul 26, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 7 WINCHESTER RD
City: Kingstree
State: South Carolina
ZIP Code: 29556-5772
Phone: (843) 372-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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