Individual
MATTHEW BURGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 DE PAUL DR, ST VINCENT'S: BEHAVIORAL HEALTH, BRIDGETON, MO 63044-2512
(314) 344-7113
Mailing address
12303 DEPAUL DRIVE, ST VINCENT'S: BEHAVIORAL HEALTH, BRIDGETON, MO 63044
(314) 344-7113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016026158
MO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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