Individual
MRS. BETTY J BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
108 OLD SOLOMONS ISLAND RD, SUITE U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Mailing address
108 OLD SOLOMONS ISLAND RD, SUITE U-7, ANNAPOLIS, MD 21401-3845
(410) 266-8345
(410) 266-6278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G09546
MD
Other
Enumeration date
07/31/2006
Last updated
08/23/2011
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