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Individual
TARA LYNN HEINL
Active
Individual
TARA LYNN HEINL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1000091
OH
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213588
—
OH
Enumeration date
12/29/2011
Last updated
11/09/2021
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