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1467596486
ROBERT E DEYSACH
COLUMBIA, SC
NPI
1467596486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: SC 81)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- ROBERT E DEYSACH
1723 GLENWOOD RD
COLUMBIA, SC 29204-7713
Phone number: 803-782-9807
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Mailing Address
-- ROBERT E DEYSACH
1723 GLENWOOD RD
COLUMBIA, SC 29204-7713
Phone number: 803-782-9807
Copy
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