Individual
BURCHEL LYMAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
911 BERWICK DR, SIMPSONVILLE, SC 29681-4196
(864) 630-0747
Mailing address
911 BERWICK DR, SIMPSONVILLE, SC 29681-4196
(864) 630-0747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11287
SC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/03/2011
Last updated
10/21/2020
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