Individual
CHERYL LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(877) 398-2013
Mailing address
12596 GLOVERS LAKE RD, BEAR LAKE, MI 49614-9215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802090949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802090949
STATE OF MICHIGAN LICENSE
MI
Enumeration date
12/02/2020
Last updated
12/02/2020
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