Individual
MRS. VIRANDA DESHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E MADISON ST, SUITE E, DILLON, SC 29536-2466
(910) 423-1308
Mailing address
100 E MADISON ST, SUITE E, DILLON, SC 29536-2466
(910) 423-1308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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