Individual
DORIS CECILE BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4050 LAKE OTIS PKWY, SUITE 112, ANCHORAGE, AK 99508-5223
(907) 230-6496
Mailing address
3355 DICKSON RD, ANCHORAGE, AK 99504-4034
(907) 230-6496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
825
AK
Other
Enumeration date
08/22/2007
Last updated
10/29/2008
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