Lisa Bergquist, LBSW

NPI #1144610866 in Wayne, Michigan

Provider Information

NPI Number: 1144610866
Entity Type: Individual
Name: Lisa Bergquist, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LBSW
Enumeration Date: Feb 2, 2015
Last Updated: Aug 8, 2024

Practice Location

Address: 35425 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-9800
Phone: (616) 241-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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