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1205125697
ELIZABETH BERGERON
SALT LAKE CITY, UT
NPI
1205125697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 3120663503)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- ELIZABETH BERGERON
5965 S 900 E # 430
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- ELIZABETH BERGERON
5965 S 900 E # 430
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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