Individual
BRIAN JAY BURGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9403 ODYSSEY CT, BURKE, VA 22015-1910
(703) 426-0499
Mailing address
9403 ODYSSEY CT, BURKE, VA 22015-1910
(703) 426-0499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC 10076
NJ
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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