Christine Bergman LCSW

NPI 1194984963 - Social Worker - 1041C0700X

NPI Details
NPI 1194984963
Gender Female
Enumeration Date 06/05/2008
Last Updated 07/19/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
4510 FRANKFORD AVE
2ND FLOOR
PHILADELPHIA PA, 19124-3602, US
Phone (215) 831-9302
Fax
Business Location
432 N 6TH ST
PHILADELPHIA PA, 19123-4004, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Pennsylvania
License Number CW016958
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According to our database, Christine Bergman LCSW NPI is 1194984963, taxonomy code is 1041C0700X and license number is CW016958, license state is located at Pennsylvania. Christine Bergman LCSW physically located at 4510 Frankford Ave, Philadelphia PA, 19124-3602. NPI Number Christine Bergman LCSW has the Individual type.

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1194984963 NPI number is provided on an as is basis without warranty of any kind. 1194984963 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Bergman LCSW are for informational purposes only.