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1295210540
AMANDA BERGSTROM
TUCSON, AZ
NPI
1295210540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-17391)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
AMANDA BERGSTROM LCSW
6280 E PIMA ST
TUCSON, AZ 85712-3074
Phone number: 520-329-1250
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Mailing Address
AMANDA BERGSTROM LCSW
2733 N NORRIS AVE
TUCSON, AZ 85719-3232
Phone number: 520-360-9670
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