Individual
CAROLYN SUZANNE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 VAN GIESEN ST, RICHLAND, WA 99354-2746
(509) 946-4645
(509) 946-7398
Mailing address
2139 VAN GIESEN ST, RICHLAND, WA 99354-2746
(509) 946-4645
(509) 946-7398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60821615
WA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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