DERON CHISOLM

COLUMBIA, SC
NPI1285861617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  5177)
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
Mr. DERON CHISOLM LISW
3604 FERNANDINA RD 203
COLUMBIA, SC 29210-5221
Phone number: 803-750-2211
Mailing Address
Mr. DERON CHISOLM LISW
3604 FERNANDINA RD 203
COLUMBIA, SC 29210-5221
Phone number: 803-750-2211
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