CHANIQUA DESIREE MAZYCK

CHESTERFIELD, SC
NPI1396261012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-08-15
Last Update Date2017-08-15
Business Address
CHANIQUA DESIREE MAZYCK BA
207 COMMERCE AVE
CHESTERFIELD, SC 29709
Phone number: 843-623-2229
Mailing Address
CHANIQUA DESIREE MAZYCK BA
P.O. BOX 918 1035 CHERAW ST
BENNETTSVILLE, SC 29512
Phone number: 843-544-4098