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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MI JA KANG BERGERSON, LICSW

Active Sole Proprietor

MI JA KANG BERGERSON, LICSW is a Clinical Social Worker healthcare provider located in MOUND, Minnesota. NPI 1659086601 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MOUND, MN

Registration Details

NPI Number
1659086601
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2023 (3.5765600512343 yrs)
Last Updated
Jan 13, 2023
License
28770 (MN)
Sole Proprietor
Yes

Practice Information

Address
2385 CHATEAU LN
MOUND, MN, 553641750
Browse MN providers · Browse ZIP 55364
Phone
6127437893
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MOUND, MN

Name Credential NPI
MR. GARY LAWRENCE STEFFENS LICSW 1114214095
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.