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Individual

DR. DANNY BURNSIDE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.DIV., M.A. PH. D.

Contact information

Practice address
272 HEATHER GLEN DR, BOILING SPRINGS, SC 29316-5939
(864) 266-2291
Mailing address
272 HEATHER GLEN DR, BOILING SPRINGS, SC 29316-5939
(864) 266-2291

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/22/2010
Last updated
12/28/2012
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