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1457605552
CASEY AMANDA BERGMAN
SEATTLE, WA
NPI
1457605552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00006132)
Enumeration Date
2012-10-29
Last Update Date
2016-01-27
Business Address
Mrs. CASEY AMANDA BERGMAN CDP
1550 4TH AVE S
SEATTLE, WA 98134-1510
Phone number: 206-516-7778
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Mailing Address
Mrs. CASEY AMANDA BERGMAN CDP
2466 CALLAWAY LN SW
TUMWATER, WA 98512-8019
Phone number: 360-878-3905
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