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Individual
MS. JUDITH BERGSON
Active
Individual
MS. JUDITH BERGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012000
FALLON COMMUNITY HEALTH P
MA
01
—
108225
VALUE OPTIONS
MA
05
—
1892631
—
MA
01
—
793610
TUFTS
MA
Enumeration date
01/08/2007
Last updated
07/09/2007
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