Individual
KELLY ROBINSON BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(760) 224-5933
Mailing address
205 WICKER PARK AVE, GREER, SC 29651-1949
(760) 224-5933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/20/2021
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