JACKARA SHADASHA DEWALT

WEST COLUMBIA, SC
NPI1376264192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-09-09
Last Update Date2022-09-09
Business Address
JACKARA SHADASHA DEWALT
1600 PLATT SPRINGS RD APT 34
WEST COLUMBIA, SC 29169-5542
Phone number: 803-290-0522
Mailing Address
JACKARA SHADASHA DEWALT
325 S CHURCH ST
SPARTANBURG, SC 29306-5231
Phone number: 803-290-0522
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