LEROY BURGESS

SOUTH BEND, IN
NPI1528449964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TH0100X Psychologist, Health Service
(Licence: IN  99066271A)
Enumeration Date2015-06-11
Last Update Date2015-06-11
Business Address
Dr. LEROY BURGESS Psychologist
300 S SAINT LOUIS BLVD STE 202
SOUTH BEND, IN 46617-3044
Phone number: 574-232-1405
Mailing Address
Dr. LEROY BURGESS Psychologist
300 S SAINT LOUIS BLVD STE 202
SOUTH BEND, IN 46617-3044
Phone number: 574-232-1405
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