Individual
DEBBIE LYNN HENNEN-BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 PENN AVE S, SUITE 104, BLOOMINGTON, MN 55431-1360
(952) 457-8557
Mailing address
5104 44TH AVE S, MINNEAPOLIS, MN 55417-1623
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1491
MN
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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