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1164538393
LAURIE L. BERGNER
BLOOMINGTON, IL
NPI
1164538393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002227)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. LAURIE L. BERGNER Ph.D.
901 E GROVE ST
BLOOMINGTON, IL 61701-4200
Phone number: 309-828-6821
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Mailing Address
Dr. LAURIE L. BERGNER Ph.D.
502 S BLAIR DR
NORMAL, IL 61761-3110
Phone number: 309-454-3113
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