Individual
MR. LENNY J BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
Mailing address
6608 GILLEN ST, METAIRIE, LA 70003-2939
(305) 431-6641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16272
LA
1041C0700X
Clinical Social Worker
SW9037
FL
Other
Enumeration date
07/30/2008
Last updated
10/27/2021
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