Individual
MOLLY BERGAMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 OLD BALLAS RD, SUITE 203, CREVE COEUR, MO 63141-7051
(314) 569-2253
Mailing address
711 OLD BALLAS RD, SUITE 203, CREVE COEUR, MO 63141-7051
(314) 569-2253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014028727
MO
Other
Enumeration date
08/12/2015
Last updated
03/02/2017
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