Individual
CADYN LIAM BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LISW-CP
Contact information
Practice address
10 EAST AVE, GREENVILLE, SC 29601-2202
(864) 743-8702
Mailing address
205 FERNBROOK CIR, SPARTANBURG, SC 29307-2966
(712) 790-0688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088939
IA
1041C0700X
Clinical Social Worker
Primary
14110
SC
Other
Enumeration date
03/27/2018
Last updated
12/05/2023
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