Individual
JOSEPH BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0110716
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026237
—
VT
Enumeration date
12/08/2015
Last updated
12/14/2022
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