Individual
DR. MARY MICHELE BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1898 CALHOUN ST, #5 RAINBOW ROW, COLUMBIA, SC 29201-2612
(803) 233-9175
(803) 233-9177
Mailing address
1898 CALHOUN ST, #5 RAINBOW ROW, COLUMBIA, SC 29201-2612
(803) 233-9175
(803) 233-9177
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
887
SC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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