Individual
DEANDRA CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 BROZZINI CT, GREENVILLE, SC 29615-5340
(800) 805-6989
Mailing address
1308 SADDLE CT, ROEBUCK, SC 29376-2635
(843) 687-2108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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