Individual
MS. TRACEY A DESJADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 LIBERTY HILL RD., CAMDEN, SC 29020
(803) 432-5323
(803) 713-3978
Mailing address
215 N. MAGNOLIA ST., SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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