MR. Stu E Bergman, CSW

NPI #1962585810 in Ithaca, New York

Provider Information

NPI Number: 1962585810
Entity Type: Individual
Name: MR. Stu E Bergman, CSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: CSW
Enumeration Date: Oct 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 55 BUSH LN
City: Ithaca
State: New York
ZIP Code: 14850-1052
Phone: (607) 257-0906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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