Individual
DE-ASIA S BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
(843) 394-7600
Mailing address
333 RIPLEY RD, SCRANTON, SC 29591-5337
(843) 598-7142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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