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Individual

MS. ANGELA MARY BERGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
307 WILSON ST, POSTVILLE, IA 52162
(563) 864-7122
(563) 864-7123
Mailing address
PO BOX 308, POSTVILLE, IA 52162-0308
(563) 864-7122
(563) 864-7123

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00073
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28723
WELLMARK, INC
IA
Enumeration date
04/18/2008
Last updated
04/18/2008
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