Search › Georgia › 1041C0700X
Delores Liston, LCSW
NPI 1770080459 · on the registry since 2018 · sole proprietor
Practice
- Address
- 112 N College St
Statesboro, GA 30458 - Phone
- (912) 536-1164
- Organisation at this address
- Ellen N. Emerson, Phd, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia