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Individual

LOGAN BROOKE BURROUGHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
139 ANDERSON ST, LAKE CITY, SC 29560-2333
(843) 373-7310
Mailing address
139 ANDERSON ST, LAKE CITY, SC 29560
(843) 373-7310

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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