JEFFREY BERGSTROM, MSW LCSW MPA
Social Worker - Clinical
Active
Individual
NPI: 1558840850
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 40757 (ID) |
Frequently Asked Questions
NPI 1558840850 is the National Provider Identifier for JEFFREY BERGSTROM, MSW LCSW MPA, a Social Worker - Clinical provider located in Mullan, ID. This NPI was enumerated on August 8, 2018.
JEFFREY BERGSTROM, MSW LCSW MPA practices at 379 2ND STREET, Mullan, ID 83846.
Quick Facts
- NPI
- 1558840850
- Type
- Individual
- Enumerated
- Aug 8, 2018
- Last Updated
- Dec 27, 2024
Nearby Providers
-
MULLAN SCHOOL DISTRICT
Local Education Agency (LEA)
-
TAMMY GLIDEWELL, RN
Registered Nurse