Individual
JOHN CHARLES BURGGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
1000 UNIVERSITY AVE W STE 20, SAINT PAUL, MN 55104-4747
(612) 373-9160
(612) 341-4057
Mailing address
2318 ERICON DR, BROOKLYN CENTER, MN 55430-2918
(763) 954-1934
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21189
MN
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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