Individual
DESLYS SARAH FLOYD RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW/LCSW
Contact information
Practice address
3208 TROTTER RD, HOPKINS, SC 29061-9754
(803) 261-5603
Mailing address
PO BOX 90539, COLUMBIA, SC 29290-1539
(803) 261-5603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4708
SC
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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