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1295881019
LAUREN A. BERG
PORTLAND, OR
NPI
1295881019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 5054)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- LAUREN A. BERG MA, LPA
1308 NW 20TH AVE
PORTLAND, OR 97209-1607
Phone number: 503-358-4122
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Mailing Address
-- LAUREN A. BERG MA, LPA
1308 NW 20TH AVE
PORTLAND, OR 97209-1607
Phone number: 503-358-4122
Copy
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