Ellen J Bergstrom LBSW

NPI 1255605457 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1255605457
Gender Female
Enumeration Date 03/06/2012
Last Updated 03/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
SUITE 1460
FLINT MI, 48507-2645, US
Phone (810) 237-0799
Fax (810) 237-0805
Business Location
MASON MI, 48854-8729, US
Phone (517) 676-5405
Fax (517) 676-5460
Taxonomy Code 171M00000X
License State Michigan
License Number 6802074962
Remove 1255605457 NPI Number

According to our database, Ellen J Bergstrom LBSW NPI is 1255605457, taxonomy code is 171M00000X and license number is 6802074962, license state is located at Michigan. Ellen J Bergstrom LBSW physically located at 4400 S Saginaw St, Flint MI, 48507-2645. NPI Number Ellen J Bergstrom LBSW has the Individual type.

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1255605457 NPI number is provided on an as is basis without warranty of any kind. 1255605457 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen J Bergstrom LBSW are for informational purposes only.