Fletcher, Shane Paul

Fletcher, Shane Paul is an individual health care provider with primary practice located at 204 W Hill Blvd Bldg 1000 , Charleston Afb SC 29404-4704. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fletcher, Shane Paul can be contacted via phone (843) 963-6852.

Contact Information

Primary practice address
204 W Hill Blvd Bldg 1000 Charleston Afb SC 29404-4704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904010701 Virginia

Profile Details

NPI number 1942935036
LBN Legal business name Fletcher, Shane Paul
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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