Luci Berg

NPI #1720430929 in Walla Walla, Washington

Provider Information

NPI Number: 1720430929
Entity Type: Individual
Name: Luci Berg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 12, 2016
Last Updated: Jul 12, 2016

Practice Location

Address: 1520 KELLY PL STE 234
City: Walla Walla
State: Washington
ZIP Code: 99362-8607
Phone: (509) 575-4084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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