Individual
AMY LEWIS BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
455 COVE TOWER DR, #304, NAPLES, FL 34110-6519
(239) 841-0755
Mailing address
455 COVE TOWER DR, #304, NAPLES, FL 34110-6519
(239) 841-0755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10159
FL
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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