Individual
MRS. THERESA LESARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6420 RAMSDELL DR NE, ROCKFORD, MI 49341-8075
(616) 745-2931
Mailing address
6420 RAMSDELL DR NE, ROCKFORD, MI 49341-8075
(616) 745-2931
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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