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Individual

MRS. BRENNA S BERGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
210 HIGHWAY 2 W STE 10, DEVILS LAKE, ND 58301-2913
(701) 662-1046
Mailing address
210 HIGHWAY 2 W STE 10, DEVILS LAKE, ND 58301-2913
(701) 662-1046

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ND
1041C0700X
Clinical Social Worker

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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