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1659585099
ALLISON MARIE DEATHERAGE
CHARLESTON AFB, SC
NPI
1659585099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OH 7351)
Enumeration Date
2007-05-09
Last Update Date
2020-11-20
Business Address
Dr. ALLISON MARIE DEATHERAGE PhD
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6852
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Mailing Address
Dr. ALLISON MARIE DEATHERAGE PhD
PO BOX 21467
COLUMBUS, OH 43221-0467
Phone number: 614-380-9371
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