LISA BERGQUIST

WAYNE, MI
NPI1144610866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802077729)
Enumeration Date2015-02-02
Last Update Date2024-08-08
Business Address
LISA BERGQUIST LBSW
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 616-241-6258
Mailing Address
LISA BERGQUIST LBSW
1779 MAYFLOWER DR SW
WYOMING, MI 49519-9662
Phone number: 616-514-8220