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1104666452
RICHARD BERG
MESA, AZ
NPI
1104666452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LMSW-22181)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
RICHARD BERG
4115 E VALLEY AUTO DR STE 104
MESA, AZ 85206-4610
Phone number:
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Mailing Address
RICHARD BERG
8638 E ROANOKE AVE
SCOTTSDALE, AZ 85257-1841
Phone number: 207-356-8933
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