Individual
MR. ANDREW NELSON BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
69 FEDERAL ST, PORTLAND, ME 04101-4260
(207) 712-4711
Mailing address
69 FEDERAL ST, PORTLAND, ME 04101-4260
(207) 712-4711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6069
ME
Other
Enumeration date
09/07/2006
Last updated
03/06/2013
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