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Individual

DR. LEVENTE VON HEYDRICH

Active
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Individual

DR. LEVENTE VON HEYDRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D, LLMSW, LBSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801085830
MI
1041C0700X
Clinical Social Worker
Primary
6802083653
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4101006507
MARRIAGE AND FAMILY THERAPIST
MI
01
—
6801085830
MASTER'S SOCIAL WORKER LI
MI
01
—
6802083653
BSW SOCIAL WORKER LICENSE
MI
Enumeration date
05/16/2007
Last updated
09/12/2011
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