BRUCE FRANKLIN BURGO

FORT LEONARD WOOD, MO
NPI1134301476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MO  004763)
Enumeration Date2007-11-28
Last Update Date2007-11-28
Business Address
MR. BRUCE FRANKLIN BURGO LCSW
126 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-1507
Mailing Address
MR. BRUCE FRANKLIN BURGO LCSW
PO BOX 33029
KANSAS CITY, MO 64114-0029
Phone number: 816-524-3255