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1396058467
CLANCY BERGOLD
EUGENE, OR
NPI
1396058467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-19
Last Update Date
2018-09-12
Business Address
CLANCY BERGOLD
5350 DONALD ST
EUGENE, OR 97405-3529
Phone number: 541-505-8558
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Mailing Address
CLANCY BERGOLD
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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