Individual
MADISON LEE BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
(352) 792-4293
Mailing address
1552 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW17404
FL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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