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Individual
MISS FERN HEIDI HANOVER
Active
Individual
MISS FERN HEIDI HANOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED., M.S.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009473-1
NY
235Z00000X
Speech-Language Pathologist
41YS00596100
NJ
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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