Individual
MS. DENISE J HEITLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(406) 234-1687
Mailing address
PO BOX 304, MILES CITY, MT 59301-0304
(307) 620-0539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
547
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00670850
RAILROAD MEDICARE PART B
WY
Enumeration date
05/02/2007
Last updated
11/30/2010
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