| NPI | 1083140057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN C RABER BERGEON Onwer/Psychotherapist 715-853-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7539123) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |