Individual
JOSEPH FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LCSWA. RHIT
Contact information
Practice address
117 SPRATT ST, FORT MILL, SC 29715-4100
(704) 931-1010
Mailing address
117 SPRATT ST STE B, FORT MILL, SC 29715-4111
(704) 931-1010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15154
SC
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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