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Individual

DAVID WILLARD BERGSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
1331 LAKE DR SE, GRAND RAPIDS, MI 49506-1674
(616) 459-7215
(616) 451-0020
Mailing address
1923 MOERLAND CT NW, GRAND RAPIDS, MI 49504-2319
(616) 901-4304
(616) 451-0020

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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