Individual
MS. OLIVIA GRACE BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
220 RONNIE CT STE 2, MYRTLE BEACH, SC 29579-4192
(843) 945-0346
Mailing address
4255 PECAN ST, LITTLE RIVER, SC 29566-6706
(609) 444-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9033
SC
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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