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1609929900
VIRGINIA BERGSTROM
FRESNO, CA
NPI
1609929900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LMFT39596)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Mrs. VIRGINIA BERGSTROM LMFT
5588 N PALM AVE
FRESNO, CA 93704-1913
Phone number: 559-440-0980
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Mailing Address
Mrs. VIRGINIA BERGSTROM LMFT
5588 N PALM AVE
FRESNO, CA 93704-1913
Phone number: 559-440-0980
Copy
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