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1366518813
BONNIE JAN BERG
PORTLAND, OR
NPI
1366518813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 4065)
Enumeration Date
2006-11-27
Last Update Date
2008-05-08
Business Address
-- BONNIE JAN BERG LCSW
1020 SW TAYLOR ST SUITE 650
PORTLAND, OR 97205-2543
Phone number: 503-224-4654
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Mailing Address
-- BONNIE JAN BERG LCSW
1020 SW TAYLOR ST SUITE 650
PORTLAND, OR 97205-2543
Phone number: 503-224-4654
Copy
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