Individual
DAVID JOHN HEFFERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, MPA
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801100865
MI
1041C0700X
Clinical Social Worker
Primary
6801104870
MI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/16/2017
Last updated
02/25/2020
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