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1346615655
STEPHEN ALEXANDER BERGDAHL
MOSCOW, ID
NPI
1346615655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY-203202)
Enumeration Date
2015-12-11
Last Update Date
2023-10-18
Business Address
Dr. STEPHEN ALEXANDER BERGDAHL Ph.D.
316 S JEFFERSON ST
MOSCOW, ID 83843-2936
Phone number: 208-883-1144
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Mailing Address
Dr. STEPHEN ALEXANDER BERGDAHL Ph.D.
316 S JEFFERSON ST
MOSCOW, ID 83843-2936
Phone number: 208-883-1144
Copy
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