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1639542269
LATRICE BURGOS
CHESTER, PA
NPI
1639542269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-04
Last Update Date
2022-08-11
Business Address
LATRICE BURGOS BA
1 MEDICAL CENTER BLVD
CHESTER, PA 19013-3902
Phone number: 610-619-8420
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Mailing Address
LATRICE BURGOS BA
518 EAST 23RD STREET
CHESTER, PA 19013
Phone number: 484-557-3008
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