STU E BERGMAN

ITHACA, NY
NPI1962585810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  r024041-1)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
Mr. STU E BERGMAN csw
55 BUSH LN
ITHACA, NY 14850-1052
Phone number: 607-257-0906
Mailing Address
Mr. STU E BERGMAN csw
55 BUSH LN
ITHACA, NY 14850-1052
Phone number: 607-257-0906
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