Individual
MIROSLAWA BERKVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9568
(812) 353-9318
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9568
(812) 353-9318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002078A
IN
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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