Individual
AUDREY HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FORTUNE RD. W, MIDDLETOWN, NY 10941
(845) 642-3447
Mailing address
15 FORTUNE RD. W, MIDDLETOWN, NY 10941
(845) 642-3447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
083678-01
NY
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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