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1871028829
LISA BURGOS
LAKELAND, FL
NPI
1871028829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW19016)
Enumeration Date
2017-04-27
Last Update Date
2022-02-14
Business Address
LISA BURGOS LCSW
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
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Mailing Address
LISA BURGOS LCSW
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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