Individual
QUANESHA LINETTE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
507 N BOYD ST, FLORENCE, SC 29506-6114
(843) 687-8330
Mailing address
507 N BOYD ST, FLORENCE, SC 29506-6114
(843) 687-8330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7709
SC
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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