Cisse, Deondrae Tyshawn

Cisse, Deondrae Tyshawn is an sole proprietor health care provider with primary practice located at 1175 N Guignard Dr , Sumter SC 29150-1519. He recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as his primary health care specialty. Cisse, Deondrae Tyshawn can be contacted via phone (803) 580-6511.

Contact Information

Primary practice address
1175 N Guignard Dr Sumter SC 29150-1519
Phone: (803) 580-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X

Profile Details

NPI number 1629756622
LBN Legal business name Cisse, Deondrae Tyshawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2023
Last updated Jul 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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