Thomas Bergen JR., LSW

NPI #1518312875 in South River, New Jersey

Provider Information

NPI Number: 1518312875
Entity Type: Individual
Name: Thomas Bergen JR., LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Apr 25, 2016
Last Updated: Apr 25, 2016

Practice Location

Address: 11 DEVOE ST
City: South River
State: New Jersey
ZIP Code: 08882-1939
Phone: (732) 710-6319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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