Individual
ELIZABETH RENEE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4826 CHICAGO AVE, SUITE 105, MINNEAPOLIS, MN 55417-1001
(612) 827-3028
(612) 823-4993
Mailing address
4826 CHICAGO AVE, SUITE 105, MINNEAPOLIS, MN 55417-1001
(612) 827-3028
(612) 823-4993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02384
MN
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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