Individual
BRIDGET STEPHANIE BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672-3508
(949) 272-4444
Mailing address
3551 CAMINO MIRA COSTA STE T, SAN CLEMENTE, CA 92672-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
97834
CA
Other
Enumeration date
09/23/2016
Last updated
06/12/2023
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