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1629118617
ALTA FAYE BERG
PUYALLUP, WA
NPI
1629118617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH00010418)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
ALTA FAYE BERG MA
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-804-4179
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Mailing Address
ALTA FAYE BERG MA
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-804-4179
Copy
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