Liston, Delores Deanne
Liston, Delores Deanne is an sole proprietor health care provider with primary practice located at 112 N College St , Statesboro GA 30458-5309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Liston, Delores Deanne can be contacted via phone (912) 536-1164.Contact Information
Primary practice address
112 N College St
Statesboro GA 30458-5309
Phone: (912) 536-1164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW006312 | Georgia |
Profile Details
| NPI number | 1770080459 |
|---|---|
| LBN Legal business name | Liston, Delores Deanne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2018 |
| Last updated | Apr 10th, 2018 - about 7 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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