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SHAUNETTE L LLOYD MA CLINICAL COUNSELO

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1316055072

Individual Registrant:
 SHAUNETTE L LLOYD MA CLINICAL COUNSELO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1375 GILWAY EXTENSION  HOLLY HILL, SC 29059 US
Tel: 803-496-3410  Fax: 803-496-9185

Contact information for business:
2319 ST MATTHEWS ROAD  ORANGEBURG, SC 29118 US
Tel: 803-536-1571  Fax: 803-536-1463

Registration Information:
NPI: 1316055072
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
413093SC05




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