Individual
ELIZABETH BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107
(651) 602-7552
(651) 602-7580
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7552
(651) 602-7580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18598
MN
Other
Enumeration date
01/13/2017
Last updated
09/13/2018
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