Individual
DAVID JOHN HEFFERAN
Active
Individual
DAVID JOHN HEFFERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, MPA
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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