Individual
BLONZETTA LAVERNE HAMILTON-DEMAREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 COMMERCE ST, MANNING, SC 29102-2638
(859) 231-3747
Mailing address
313 W BYRD ST, TIMMONSVILLE, SC 29161-1405
(859) 231-3747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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