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Individual

MICHAEL BERGEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-IT

Contact information

Practice address
521 PROGRESS WAY, STE 101 AND 102, WAUNAKEE, WI 53579-1001
(815) 821-3596
Mailing address
5214 CAMILLA RD, MADISON, WI 53716-2437
(815) 821-3596

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8216-226
WI

Other

Enumeration date
12/30/2024
Last updated
12/30/2024
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