Bergstrom, Sage
Bergstrom, Sage is an sole proprietor health care provider with primary practice located at 421 E Placita Del Venado , Green Valley AZ 85614-3632. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bergstrom, Sage can be contacted via phone (520) 625-2273.Contact Information
Primary practice address
421 E Placita Del Venado
Green Valley AZ 85614-3632
Phone: (520) 625-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW 2039 | Arizona |
Profile Details
NPI number | 1659460046 |
---|---|
LBN Legal business name | Bergstrom, Sage |
Credentials | MSW LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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