JILL ROGERS TISDALE

LAKE CITY, SC
NPI1720426422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: SC  180404)
Enumeration Date2013-06-05
Last Update Date2013-06-05
Business Address
Mrs. JILL ROGERS TISDALE
318 E MAIN ST
LAKE CITY, SC 29560-2116
Phone number: 843-374-2393
Mailing Address
Mrs. JILL ROGERS TISDALE
PO BOX 1389
LAKE CITY, SC 29560-1389
Phone number: 843-374-2393
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