Individual
DEBORAH RISER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 N CHURCH ST, MANNING, SC 29102-3502
(803) 435-2121
Mailing address
14 N CHURCH ST, MANNING, SC 29102-3502
(803) 435-2121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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