Individual
MARTHA JACKSON BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
206 MILFORD ST, UPTON, MA 01568-1309
(508) 529-7000
Mailing address
206 MILFORD ST, UPTON, MA 01568-1309
(508) 529-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
214911
MA
Other
Enumeration date
07/14/2008
Last updated
04/26/2016
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