Individual
HEATHER HIROKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC
Contact information
Practice address
215 N TRIMBLE RD, MANSFIELD, OH 44906-2630
(419) 272-8488
Mailing address
949 TOWNSHIP ROAD 813, ASHLAND, OH 44805-8836
(419) 496-8764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1700522-SUPV
OH
324500000X
Substance Abuse Rehabilitation Facility
S.1500612
OH
3245S0500X
Children's Substance Abuse Rehabilitation Facility
161386
OH
Other
Enumeration date
03/13/2017
Last updated
05/08/2024
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