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1720655921
DESIREE BENISHA BISHOP
CONWAY, SC
NPI
1720655921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
DESIREE BENISHA BISHOP
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
DESIREE BENISHA BISHOP
301 EL BETHEL RD UNIT 1H
CONWAY, SC 29527-4980
Phone number: 843-504-5056
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