Individual
MS. MARY E BURCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
314 W 4TH NORTH FT.STREET, SUMMERVILLE, SC 29483
(843) 501-1099
Mailing address
9366 AYSCOUGH RD, SUMMERVILLE, SC 29485-8677
(843) 437-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8523
SC
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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