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1124632518
JACKIE MARIE BERGE
OLYMPIA, WA
NPI
1124632518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RN00053908)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
Mrs. JACKIE MARIE BERGE
3436 MARY ELDER RD NE
OLYMPIA, WA 98506-5050
Phone number: 360-528-2590
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Mailing Address
Mrs. JACKIE MARIE BERGE
3336 LONG LAKE DR SE
OLYMPIA, WA 98503-4048
Phone number: 360-438-1411
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