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1790087179
CHARISA NICOLE JEFFERSON
CAMDEN, SC
NPI
1790087179
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Former Name
CHARISA NICOLE BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TN 8625)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
MRS. CHARISA NICOLE JEFFERSON MSW
2611 LIBERTY HILL RD
CAMDEN, SC 29020-1871
Phone number: 803-432-5323
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Mailing Address
MRS. CHARISA NICOLE JEFFERSON MSW
215 N MAGNOLIA ST
SUMTER, SC 29150-4943
Phone number: 803-775-9364
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