Individual
BARBARA DEASE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4627
Mailing address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1876
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372048
—
SC
Enumeration date
08/31/2005
Last updated
07/08/2007
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