Individual
MR. GREG ALAN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW, LCSW
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
(573) 814-6600
Mailing address
3805 ADDISON DR, COLUMBIA, MO 65203-5392
(573) 449-3264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000025
MO
Other
Enumeration date
05/15/2006
Last updated
06/07/2016
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