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Individual
ANDRIA BURGOON
Active
Individual
ANDRIA BURGOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3935
NE
104100000X
Social Worker
LSW.0009922400
CO
Other
Enumeration date
06/18/2008
Last updated
11/22/2024
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