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1114437787
MIRKENA WAHLBERG
BERKELEY, CA
NPI
1114437787
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Other Name
MIRKENA WAHLBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-09
Last Update Date
2018-06-16
Business Address
Mrs. MIRKENA WAHLBERG AOD
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
Mrs. MIRKENA WAHLBERG AOD
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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