Individual
MORGAN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5153
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
850231566
NM
1041C0700X
Clinical Social Worker
Primary
I-07691
NM
Other
Enumeration date
09/16/2009
Last updated
02/02/2022
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