LISA BERGQUIST LBSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1144610866- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LBSW
- Status
- Active
Contact & Location
- Address
- 35425 W MICHIGAN AVE, WAYNE, MI, 481849800
- Phone
- (616) 241-6258
- Fax
- (616) 241-6470
Specialties & Taxonomies
Social Worker
Primary License: MI #6802077729