Bergan Johanna Bolthouse
Bergan Johanna Bolthouse is a Clinical Social Worker in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2025.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
1055 Gezon Pkwy SWWyoming, MI 49509-9542
Phone: (616) 773-2908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6851120274 (MI) |
|---|
Record details
| NPI number | 1740175512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 11, 2025 |
| Last updated in NPPES | June 11, 2025 |
| Certification date | June 11, 2025 |
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