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Individual
TERI HEISEY
Active
Individual
TERI HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904021141
VA
1041C0700X
Clinical Social Worker
Primary
LCSW-1285
WY
1041C0700X
Clinical Social Worker
LCSW-72576
MT
Other
Enumeration date
08/13/2018
Last updated
10/15/2026
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