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1811134117
JUDE BERGKAMP
OLYMPIA, WA
NPI
1811134117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA lh00010918)
Enumeration Date
2009-01-08
Last Update Date
2009-01-08
Business Address
-- JUDE BERGKAMP M.A., L.M.H.C.
3102 8TH AVE NE
OLYMPIA, WA 98506-4972
Phone number: 360-790-2033
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Mailing Address
-- JUDE BERGKAMP M.A., L.M.H.C.
4904 CUSHMAN RD NE
OLYMPIA, WA 98506-1808
Phone number: 360-790-2033
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