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1174230841
GLADYLU BURGOS LUGO
VIRGINIA BEACH, VA
NPI
1174230841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0906008248)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
GLADYLU BURGOS LUGO MSW
5301 PROVIDENCE RD STE 20
VIRGINIA BEACH, VA 23464-4128
Phone number: 804-821-4024
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Mailing Address
GLADYLU BURGOS LUGO MSW
957 DUCK POND DR APT 103
VIRGINIA BEACH, VA 23464-3329
Phone number: 804-821-4024
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