Individual
DIANNE BERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 401-7212
Mailing address
501 MANHATTAN BLVD, HARVEY, LA 70058-4443
(504) 401-7212
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4272
LA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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