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1043096241
ELIZABETH ANNE BERGENDAHL
CLARKSTON, WA
NPI
1043096241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
ELIZABETH ANNE BERGENDAHL MHA IP
16047A HIGHWAY 12
CLARKSTON, WA 99403-9753
Phone number: 360-451-0267
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Mailing Address
ELIZABETH ANNE BERGENDAHL MHA IP
16047A HIGHWAY 12
CLARKSTON, WA 99403-9753
Phone number: 360-451-0267
Copy
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