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1174780191
BRIAN JAY BURGENER
BURKE, VA
NPI
1174780191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ SC 10076)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- BRIAN JAY BURGENER LCSW
9403 ODYSSEY CT
BURKE, VA 22015-1910
Phone number: 703-426-0499
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Mailing Address
-- BRIAN JAY BURGENER LCSW
9403 ODYSSEY CT
BURKE, VA 22015-1910
Phone number: 703-426-0499
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