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Individual

LAURA LEE BERGJORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
600 EAST 4TH ST, CHASKA, MN 55318
(952) 368-8821
(952) 368-8858
Mailing address
600 EAST 4TH ST, CHASKA, MN 55318
(952) 361-1640
(952) 361-1660

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15513 LICSW
MN

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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