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Contact Information

DEONDRAE T CISSE
1175 N GUIGNARD DR
SUMTER, SC29150-1519
 Phone: 803-580-6511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DEONDRAE T CISSE · (Male)

NPI Number 1629756622
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2023
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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