Individual
LOUISA BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 476-6642
Mailing address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 476-6642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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