MICHAEL DAVID DEASON

IRMO, SC
NPI1124300355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SC  3819)
Enumeration Date2011-09-14
Last Update Date2011-09-14
Business Address
-- MICHAEL DAVID DEASON LPC
7941 BROAD RIVER ROAD SANDHILLS PEDIATRICS
IRMO, SC 29063
Phone number: 803-606-4441
Mailing Address
-- MICHAEL DAVID DEASON LPC
204 MYLES COURT
LEXINGTON, SC 29072
Phone number: 803-606-4441