Individual
JEAN DUVE BERGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 W MILWAUKEE ST, SUITE 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Mailing address
15 W MILWAUKEE ST, SUITE 207, JANESVILLE, WI 53548-2998
(608) 755-1475
(608) 755-1733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3693-123
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43700800
—
WI
Enumeration date
12/13/2006
Last updated
06/13/2013
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