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Organization

ANDREW BERGLUND, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW N BERGLUND LCSW (OWNER)
(207) 712-4711
Entity
Organization

Contact information

Practice address
69 FEDERAL ST, PORTLAND, ME 04101-4260
(207) 712-4711
(207) 772-7702
Mailing address
69 FEDERAL ST, PORTLAND, ME 04101-4260
(207) 712-4711
(207) 772-7702

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6069
ME

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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