Individual
JOSIE DESHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 LAUREL ST, COLUMBIA, SC 29204-2038
(803) 939-2642
Mailing address
2750 LAUREL ST, COLUMBIA, SC 29204-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16820
SC
Other
Enumeration date
06/07/2021
Last updated
06/25/2024
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