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LARA M BERGSTEDT LCSW, CADC

Addiction Substance Use Disorder

Shelbyville, Tennessee

Provider NPI: 1811125974

Provider Information:
 LARA M BERGSTEDT LCSW, CADC
Gender: F
Sole Proprietor


Practice Location:
604 S WALL ST  SHELBYVILLE, TN 37160 US
Tel: 708-837-8377  Fax: --

Business Mailing Address:
12508 E 11750N RD UNIT 3  BEECHER, IL 60401 US
Tel: 708-837-8377  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IL14267
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
IL149.013607
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
TNLSW0000006090









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