Individual
MRS. MILA R BURGESS-CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 COLUMBIA COLLEGE DR, COLUMBIA, SC 29203-5949
(803) 786-3603
Mailing address
1301 COLUMBIA COLLEGE DR, COLUMBIA, SC 29203-5998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6230
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164941175
—
SC
Enumeration date
09/12/2017
Last updated
02/17/2025
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