Individual
GRETCHEN HEIDELOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123
(614) 935-9353
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
OH
1041C0700X
Clinical Social Worker
Primary
I.2103109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043727498
—
OH
Enumeration date
01/08/2018
Last updated
10/26/2021
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