Individual
MISS KELSEY BERGSIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 S HENNEPIN AVE, DIXON, IL 61021-4023
(815) 228-8983
Mailing address
1011 S HENNEPIN AVE, DIXON, IL 61021-4023
(815) 228-8983
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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