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1245788736
MATTHEW BURGDORF
BRIDGETON, MO
NPI
1245788736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MO 2016026158)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- MATTHEW BURGDORF
12303 DE PAUL DR ST VINCENT'S: BEHAVIORAL HEALTH
BRIDGETON, MO 63044-2512
Phone number: 314-344-7113
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Mailing Address
-- MATTHEW BURGDORF
12303 DEPAUL DRIVE ST VINCENT'S: BEHAVIORAL HEALTH
BRIDGETON, MO 63044
Phone number: 314-344-7113
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