Individual
MS. DANIELLE MARIE BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8224
Mailing address
4930 134TH ST, UNIT 111, CRESTWOOD, IL 60445-4464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017551
IL
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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