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1235567439
CARRIE BERGEN
CHICAGO, IL
NPI
1235567439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013423)
Enumeration Date
2013-10-24
Last Update Date
2013-10-24
Business Address
-- CARRIE BERGEN
4980 N MARINE DR UNIT 831
CHICAGO, IL 60640-3969
Phone number: 312-730-7733
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Mailing Address
-- CARRIE BERGEN
4980 N. MARINE DRIVE UNIT 831
CHICAGO, IL 60640
Phone number: 312-730-7733
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