Individual
MYRA BRUNSON-SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
3620 PELHAM RD STE 252, GREENVILLE, SC 29615-5044
(864) 381-7818
Mailing address
3620 PELHAM RD STE 252, GREENVILLE, SC 29615-5044
(864) 381-7818
(855) 415-9033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11830
SC
Other
Enumeration date
04/09/2012
Last updated
07/31/2023
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