Individual
MIREILY BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 STAFFORD RD, PRINCE FREDERICK, MD 20678-3582
(410) 535-3079
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
07/29/2023
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