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Individual

BURGUNDI HEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 W BROADWAY AVE STE 110, MINNEAPOLIS, MN 55411-2531
(612) 886-4218
Mailing address
1011 W BROADWAY AVE STE 110, MINNEAPOLIS, MN 55411-2531
(612) 886-4218

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K011184497602
MN
Enumeration date
03/19/2018
Last updated
03/19/2018
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