Stephanie S Berg, LICSW

NPI #1043367758 in Bellevue, Washington

Provider Information

NPI Number: 1043367758
Entity Type: Individual
Name: Stephanie S Berg, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jan 4, 2007
Last Updated: Mar 21, 2013

Practice Location

Address: 14270 NE 21ST ST
City: Bellevue
State: Washington
ZIP Code: 98007-3720
Phone: (425) 653-5025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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