Individual
MRS. ALICIA MICHELLE BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
17317 SANTALUCE MNR, BOCA RATON, FL 33496-3827
(301) 351-4667
Mailing address
17317 SANTALUCE MNR, BOCA RATON, FL 33496-3827
(301) 351-4667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
04631
MD
235Z00000X
Speech-Language Pathologist
Primary
18770
FL
Other
Enumeration date
09/24/2018
Last updated
07/27/2021
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