Individual
MS. WANDA JEAN BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4417 RICE MILL DR, N CHARLESTON, SC 29420-8212
(843) 452-7556
Mailing address
4417 RICE MILL DR, N CHARLESTON, SC 29420-8212
(843) 452-7556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6036
SC
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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