MICHAEL IMBURGIA

PORTAGE, IN
NPI1023380276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-02-03
Last Update Date2012-02-03
Business Address
-- MICHAEL IMBURGIA BA
3176 LANCER ST
PORTAGE, IN 46368-4408
Phone number: 219-762-9557
Mailing Address
-- MICHAEL IMBURGIA BA
2963 JOANN ST
PORTAGE, IN 46368-3927
Phone number:
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