Individual
MRS. DELORIS ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 CLEMSON BLVD STE G, ANDERSON, SC 29621-1176
(864) 990-6672
Mailing address
4120 CLEMSON BLVD STE G, ANDERSON, SC 29621-1176
(864) 990-6672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303117575
—
SC
Enumeration date
07/09/2019
Last updated
07/09/2019
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