Individual
MS. KATHRYN JAYNE STEVENSON FUNDERBURK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2611 LIBERTY HILL RD, SWCMHC/KERSHAW CMHC,, CAMDEN, SC 29020-1871
(803) 432-5323
(803) 713-3978
Mailing address
215 N MAGNOLIA ST, SWCMHC, SUMTER, SC 29150-4943
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6152
SC
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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