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1417724113
WILLIAM THEODORE BERGSTROM
TACOMA, WA
NPI
1417724113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 61443067)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
WILLIAM THEODORE BERGSTROM LICSW
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1418
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Mailing Address
WILLIAM THEODORE BERGSTROM LICSW
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number:
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