Individual
GLADYLU BURGOS LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5301 PROVIDENCE RD STE 20, VIRGINIA BEACH, VA 23464-4128
(804) 821-4024
Mailing address
957 DUCK POND DR APT 103, VIRGINIA BEACH, VA 23464-3329
(804) 821-4024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906008248
VA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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