Individual
DENISE BERGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST, SUITE 303, BRAINTREE, MA 02184-4729
(781) 843-3683
(781) 848-0206
Mailing address
96 MAPLEWOOD AVE, TEWKSBURY, MA 01876-4429
(978) 831-2454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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