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1508221318
ELISABETH ERIN WAGNER BERGDAHL
WOODINVILLE, WA
NPI
1508221318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC 60724657)
Enumeration Date
2015-12-21
Last Update Date
2020-06-24
Business Address
ELISABETH ERIN WAGNER BERGDAHL
17330 135TH AVE NE
WOODINVILLE, WA 98072-8522
Phone number: 425-998-9769
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Mailing Address
ELISABETH ERIN WAGNER BERGDAHL
17330 135TH AVE NE
WOODINVILLE, WA 98072-8522
Phone number: 425-998-9769
Copy
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