SUSAN DIANE BERGEN

TWIN FALLS, ID
NPI1497856637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: ID  LMFT-2962)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- SUSAN DIANE BERGEN MA, LMFT
647 FILER AVE
TWIN FALLS, ID 83301-4008
Phone number: 208-737-9999
Mailing Address
-- SUSAN DIANE BERGEN MA, LMFT
225 LONG ISLAND AVE
TWIN FALLS, ID 83301-3096
Phone number: 208-735-1561
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