Individual
HEATHER HETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
619 WEST 5TH STREET, LUSK, WY 82225-8222
(307) 334-2224
Mailing address
PO BOX 629, LUSK, WY 82225-0629
(307) 334-2224
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
74040
WY
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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