Individual
MELISSA M BERGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129958
WI
1041S0200X
School Social Worker
814520
WI
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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