Individual
MRS. STEPHANIE KAY BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 E PAGES LN, A, CENTERVILLE, UT 84014-2216
(801) 294-0578
Mailing address
1963 S 1130 W, WOODS CROSS, UT 84087-2320
(801) 707-9612
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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