CARRIE ANN BERGEN - Social Worker License in California | # 149013423

CARRIE ANN BERGEN

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149013423

License Status

INACTIVE

Business

N

First Name

CARRIE

Middle

ANN

Last Name

BERGEN

Business Name

CARRIE ANN BERGEN

Original Issue Date

01/29/2009

Effective Date

10/16/2017

Expiration Date

11/30/2019

State

CA

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

09/04/2019