Jacqueline Lynn Bergquist
Case Manager/Care Coordinator in Canton, OH. Individual provider (NPI-1).
NPI number1982303103
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1982303103
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Lynn Bergquist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2023
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | w.2200319 | OH | Yes |
Practice location
4111 Bradley Cir Nw Ste 150Canton, OH 44718-2563
Phone 330-546-0199 · Fax 330-546-0186
Mailing address
4111 Bradley Cir Nw Ste 150Canton, OH 44718-2563
Phone 330-546-0199 · Fax 330-546-0186
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All 560 Case Manager/Care Coordinator providers in Canton · All 7,232 providers in Canton
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