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1225756216
MICHAEL BERGSTROM
PHOENIX, AZ
NPI
1225756216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AZ LAMFT-10777)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
MICHAEL BERGSTROM LAMFT
9014 S CENTRAL AVE
PHOENIX, AZ 85042-8304
Phone number: 602-230-7373
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Mailing Address
MICHAEL BERGSTROM LAMFT
3101 N CENTRAL AVE STE 500
PHOENIX, AZ 85012-2639
Phone number: 602-230-7373
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