Individual
DANIEL BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
(616) 365-8971
Mailing address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
(616) 365-8971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801097602
MI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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