Individual
JUDITH MICHELLE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
830 CHALKSTONE AVE, PTSD CLINIC, VA MEDICAL CENTER, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PTSD CLINIC, VA MEDICAL CENTER, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02002
RI
Other
Enumeration date
02/26/2008
Last updated
09/02/2009
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