Individual
MI JA KANG BERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2385 CHATEAU LN, MOUND, MN 55364-1750
(612) 743-7893
Mailing address
2385 CHATEAU LN, MOUND, MN 55364-1750
(612) 743-7893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28770
MN
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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