Jacqueline Lynn Bergquist

NPI #1982303103 in Canton, Ohio

Provider Information

NPI Number: 1982303103
Entity Type: Individual
Name: Jacqueline Lynn Bergquist
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 27, 2023
Last Updated: Feb 27, 2023

Practice Location

Address: 4111 BRADLEY CIR NW STE 150
City: Canton
State: Ohio
ZIP Code: 44718-2563
Phone: (330) 546-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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