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Individual

DONNA R BURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B A, MENTAL HEALTH C

Contact information

Practice address
207 COMMERCE AVE., CHESTERFIELD, SC 29709
(843) 623-2229
(843) 623-2553
Mailing address
P.O. BOX 918, 1035 CHERAW ST., BENNETTSVILLE, SC 29512
(843) 454-0841
(843) 454-0635

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405127
SC
01
570840012
NEW DAY, INC. OF SPARTANBURG
SC
Enumeration date
10/20/2010
Last updated
11/04/2011
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