DAVID BANNING HISLOP

RUTHERFORDTON, NC
NPI1154021061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
DAVID BANNING HISLOP
161 JOHN C LOGAN RD
RUTHERFORDTON, NC 28139-8254
Phone number: 843-597-3465
Mailing Address
DAVID BANNING HISLOP
161 JOHN C LOGAN RD
RUTHERFORDTON, NC 28139-8254
Phone number: 843-597-3465