Individual
MRS. CAROL JANE HEINLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-IT, SAC-IT
Contact information
Practice address
171 CHESTNUT ST, PHILLIPS, WI 54555-1313
(715) 339-3048
(715) 339-2436
Mailing address
PO BOX 71, 171 CHESTNUT STREET, PHILLIPS, WI 54555-0071
(715) 339-3048
(715) 339-2436
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
04/18/2017
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