Rebecca Ann Bergeron, LICSW

NPI #1518270313 in Providence, Rhode Island

Provider Information

NPI Number: 1518270313
Entity Type: Individual
Name: Rebecca Ann Bergeron, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Jul 21, 2010
Last Updated: Jan 15, 2025

Practice Location

Address: 830 CHALKSTONE AVE
City: Providence
State: Rhode Island
ZIP Code: 02908-4734
Phone: (401) 273-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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