Braelee Bergon

NPI #1700456852 in Logan, Utah

Provider Information

NPI Number: 1700456852
Entity Type: Individual
Name: Braelee Bergon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jun 30, 2021
Last Updated: Jun 30, 2021

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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