Individual
ALYSON BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 MARBLEHEAD LN, NORTH CHARLESTON, SC 29405-3221
(404) 210-6088
Mailing address
1004 DELSEY ST, NORTH CHARLESTON, SC 29405-4912
(404) 210-6088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6836
SC
Other
Enumeration date
02/07/2017
Last updated
03/25/2019
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