Individual
BETH BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 N 1330 W STE A1, OREM, UT 84057-5116
(801) 960-3040
Mailing address
165 N 1330 W STE A1, OREM, UT 84057-5116
(801) 960-3040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13302874-3503
UT
1041C0700X
Clinical Social Worker
Primary
13302874-3502
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/27/2020
Last updated
05/09/2025
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