Individual
SHELIA GREEN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BSW
Contact information
Practice address
181 E EVANS ST STE D16, FLORENCE, SC 29506-5524
(843) 230-1946
Mailing address
181 E EVANS ST STE D16, FLORENCE, SC 29506-5524
(843) 230-1946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1030
—
SC
Enumeration date
02/01/2016
Last updated
02/01/2016
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