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Individual
TROY ALAN BERG
Active
Individual
TROY ALAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61681546
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2025
Last updated
11/10/2025
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