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1285255497
DONNA MICHELE MAISANO
MYRTLE BEACH, SC
NPI
1285255497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 13527)
Enumeration Date
2020-04-28
Last Update Date
2020-04-28
Business Address
Mrs. DONNA MICHELE MAISANO LISW-CP
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577-3537
Phone number: 843-823-5132
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Mailing Address
Mrs. DONNA MICHELE MAISANO LISW-CP
9021 LOGGERHEAD CT
MYRTLE BEACH, SC 29579-5285
Phone number: 631-553-0289
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