Theresa Heidgerken LICSW

NPI 1902920788 - Social Worker - 1041C0700X

NPI Details
NPI 1902920788
Gender Female
Enumeration Date 03/19/2007
Last Updated 09/30/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
43 E BROADWAY
SUITE 102
LITTLE FALLS MN, 56345-3046, US
Phone (320) 631-0007
Fax (320) 631-0007
Business Location
43 E BROADWAY
SUITE 102
LITTLE FALLS MN, 56345-3046, US
Phone (320) 631-0007
Fax (320) 631-0007
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 16970
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According to our database, Theresa Heidgerken LICSW NPI is 1902920788, taxonomy code is 1041C0700X and license number is 16970, license state is located at Minnesota. Theresa Heidgerken LICSW physically located at 43 E Broadway, Little Falls MN, 56345-3046. NPI Number Theresa Heidgerken LICSW has the Individual type.

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1902920788 NPI number is provided on an as is basis without warranty of any kind. 1902920788 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Heidgerken LICSW are for informational purposes only.