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1457414914
SALLY BERGSTROM
SALEM, OR
NPI
1457414914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- SALLY BERGSTROM
2425 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-566-2132
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Mailing Address
-- SALLY BERGSTROM
2425 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-566-2132
Copy
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