Delores Deanne Liston, LCSW

NPI #1770080459 in Statesboro, Georgia

Provider Information

NPI Number
1770080459
Entity Type
Individual
Name
Delores Deanne Liston, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 10, 2018
Last Updated
Apr 10, 2018

Practice Location

Address
112 N COLLEGE ST
State
Georgia
ZIP Code
30458-5309
Phone
(912) 536-1164

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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