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Individual
ROBERT J HEIDL
Active
Individual
ROBERT J HEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1201104
OH
1041C0700X
Clinical Social Worker
Primary
I2002030
OH
Other
Enumeration date
06/08/2018
Last updated
02/24/2020
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