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1407402886
TINA MARIE BERG
MATTHEWS, NC
NPI
1407402886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15062)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
TINA MARIE BERG LPCA
10801 MONROE RD
MATTHEWS, NC 28105-8335
Phone number: 352-777-8622
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Mailing Address
TINA MARIE BERG LPCA
2842 WAXHAW INDIAN TRAIL RD
INDIAN TRAIL, NC 28079-4223
Phone number: 352-777-8622
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