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1265956684
CARMEN SUE BERGMAN
FORT WAYNE, IN
NPI
1265956684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-27
Last Update Date
2017-07-27
Business Address
CARMEN SUE BERGMAN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-482-9125
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Mailing Address
CARMEN SUE BERGMAN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number:
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