Individual
NANCY LYNN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 634-6873
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 634-6873
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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