Individual
LESTER BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
Mailing address
121 WATERCOURSE WAY, GREER, SC 29651-1915
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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