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Individual
LISA QUAGLIA
Active
Individual
LISA QUAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801107702
MI
1041C0700X
Clinical Social Worker
6801101507
MI
1041C0700X
Clinical Social Worker
Primary
6801107702
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XYH916237730
BCBS
MI
Enumeration date
06/07/2018
Last updated
08/16/2025
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