Individual
RIVA ISABELLE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MINOR ST, NEW HAVEN, CT 06519-1623
(203) 503-3350
Mailing address
27 MARION DR, NORTH HAVEN, CT 06473-2018
(631) 402-3752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10981
CT
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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