DELORES DEANNE LISTON

STATESBORO, GA
NPI1770080459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: GA  CSW006312)
Enumeration Date2018-04-10
Last Update Date2018-04-10
Business Address
DELORES DEANNE LISTON LCSW
112 N COLLEGE ST
STATESBORO, GA 30458-5309
Phone number: 912-536-1164
Mailing Address
DELORES DEANNE LISTON LCSW
313 PALOMINO PATH
STATESBORO, GA 30458-8712
Phone number: 912-536-1164
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