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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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