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Individual
KATHERINE HEIDORN
Active
Individual
KATHERINE HEIDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.184624
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/17/2023
Last updated
01/29/2024
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