Individual
LAKEISHA CERESE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3618 ASHLEY PHOSPHATE RD, NORTH CHARLESTON, SC 29418-8585
(843) 459-2619
(843) 459-2769
Mailing address
3618 ASHLEY PHOSPHATE RD, NORTH CHARLESTON, SC 29418-8585
(843) 459-2619
(843) 459-2769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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