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1144610866
LISA BERGQUIST
WAYNE, MI
NPI
1144610866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802077729)
Enumeration Date
2015-02-02
Last Update Date
2024-08-08
Business Address
LISA BERGQUIST LBSW
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 616-241-6258
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Mailing Address
LISA BERGQUIST LBSW
1779 MAYFLOWER DR SW
WYOMING, MI 49519-9662
Phone number: 616-514-8220
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