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Individual

MR. BRUCE FRANKLIN BURGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1507
Mailing address
PO BOX 33029, KANSAS CITY, MO 64114-0029
(816) 524-3255

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004763
MO

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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