PHOEBE BERGVALL

SALT LAKE CITY, UT
NPI1679840656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-11-19
Last Update Date2011-11-19
Business Address
-- PHOEBE BERGVALL
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
Mailing Address
-- PHOEBE BERGVALL
458 3RD AVE. #7
SALT LAKE CITY, UT 84103
Phone number:
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