Phyllis C. Heenan LCSW

NPI 1225167398 - Social Worker - 1041C0700X

NPI Details
NPI 1225167398
Gender Female
Enumeration Date 03/05/2007
Last Updated 08/29/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
47 KNOLLWOOD DR
APTOS CA, 95003-3401, US
Phone (831) 661-5197
Fax (831) 661-5197
Business Location
47 KNOLLWOOD DR
APTOS CA, 95003-3401, US
Phone (831) 661-5197
Fax (831) 661-5197
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCSW9057
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According to our database, Phyllis C. Heenan LCSW NPI is 1225167398, taxonomy code is 1041C0700X and license number is LCSW9057, license state is located at California. Phyllis C. Heenan LCSW physically located at 47 Knollwood Dr, Aptos CA, 95003-3401. NPI Number Phyllis C. Heenan LCSW has the Individual type.

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1225167398 NPI number is provided on an as is basis without warranty of any kind. 1225167398 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis C. Heenan LCSW are for informational purposes only.