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Individual
HEATHER HERITAGE
Active
Individual
HEATHER HERITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128160-121
—
1041C0700X
Clinical Social Worker
Primary
9549-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085082
—
WI
Enumeration date
01/23/2019
Last updated
09/12/2023
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