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1174297865
JENICE BURGOS
BROOKLYN, NY
NPI
1174297865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
(Licence: NY 107043)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
JENICE BURGOS LMSW
760 BROADWAY # 5A206
BROOKLYN, NY 11206-5383
Phone number: 718-963-5893
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Mailing Address
JENICE BURGOS LMSW
1450 GATES AVE APT 1R
BROOKLYN, NY 11237-5669
Phone number: 347-553-6798
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