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Individual

JUDITH BURGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 NW 133RD AVE APT 104-40, SUNRISE, FL 33325-7675
(954) 274-5905
Mailing address
102 NW 133 AV APT 104-40, PLANTATION, FL 33325

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
FL

Other

Enumeration date
07/19/2011
Last updated
07/19/2011
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