Individual
MS. SAGE BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
421 E PLACITA DEL VENADO, GREEN VALLEY, AZ 85614-3632
(520) 625-2273
Mailing address
421 E PLACITA DEL VENADO, GREEN VALLEY, AZ 85614-3632
(520) 625-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 2039
AZ
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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