Richard Bergman, LSW

NPI #1386767465 in Montpelier, Idaho

Provider Information

NPI Number: 1386767465
Entity Type: Individual
Name: Richard Bergman, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Apr 6, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 164 S 5TH ST
City: Montpelier
State: Idaho
ZIP Code: 83254-1557
Phone: (208) 847-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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