Individual
JULIE BERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
313 S 3RD ST, GOSHEN, IN 46526-3709
(574) 535-0880
Mailing address
2570 E ONTARIO LN, WARSAW, IN 46582-8200
(574) 269-5829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33007154A
IN
1041C0700X
Clinical Social Worker
Primary
34007808A
IN
Other
Enumeration date
12/14/2016
Last updated
07/21/2022
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