Mary E Burcham, LISW-CP
Social Worker, Clinical in Summerville, SC. Individual provider (NPI-1).
NPI number1720846967
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1720846967
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary E Burcham
- Credential
- LISW-CP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8523 | SC | Yes |
Practice location
314 W 4th North Ft.StreetSummerville, SC 29483
Phone 843-501-1099
Mailing address
9366 Ayscough RdSummerville, SC 29485-8677
Phone 843-437-9711
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