Individual
MR. GREG F BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
1306 W STEVENS ST, CARLSBAD, NM 88220-4240
(575) 885-4191
(575) 885-4194
Mailing address
1306 W STEVENS ST, CARLSBAD, NM 88220-4240
(575) 885-4191
(575) 885-4194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-04595
NM
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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