Individual
MRS. JENNIFER RENEE BERGSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20378 COUNTY ROAD C, ARCHBOLD, OH 43502-9717
(419) 579-0253
Mailing address
20378 COUNTY ROAD C, ARCHBOLD, OH 43502-9717
(419) 579-0253
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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