Pam Seiler Bourdganis, LBSW, QIDP
Case Manager/Care Coordinator in Livonia, MI. Individual provider (NPI-1).
NPI number1104205681
StatusActive
Last updated in NPPESMay 29, 2015
Details
- NPI
- 1104205681
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pam Seiler Bourdganis
- Credential
- LBSW, QIDP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2015
- Last updated
- May 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 6802072956 | MI | Yes |
Practice location
19316 Fairlane CtLivonia, MI 48152-4056
Phone 248-921-6210
Mailing address
19316 Fairlane CtLivonia, MI 48152-4056
Phone 248-921-6210
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