Individual
HEIDI LYNNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1224 MARK AVE APT 7, TOMAH, WI 54660-1166
(715) 563-0818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
WI
1041C0700X
Clinical Social Worker
Primary
149.022223
IL
Other
Enumeration date
08/10/2010
Last updated
05/26/2020
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