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Individual
SARAH E BERGUM
Active
Individual
SARAH E BERGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012963
VA
Other
Enumeration date
05/26/2021
Last updated
03/06/2024
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