Individual
MARCIA GHALI BERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 N 169TH PLZ, OMAHA, NE 68118-2809
(402) 934-1617
(402) 834-5225
Mailing address
2031 N 62ND ST, OMAHA, NE 68104-4705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1547
NE
1041C0700X
Clinical Social Worker
1685
NE
Other
Enumeration date
02/03/2014
Last updated
12/19/2018
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