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1083897797
SUSAN BERGEN
LAKEWOOD, NJ
NPI
1083897797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05292400)
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
-- SUSAN BERGEN LCSW
761 RIVER AVE
LAKEWOOD, NJ 08701-5200
Phone number: 800-275-3243
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Mailing Address
-- SUSAN BERGEN LCSW
761 RIVER AVE
LAKEWOOD, NJ 08701-5200
Phone number: 800-275-3243
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