Individual
MS. HEIDI JOYCE BLANK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5380 E KACHINA ST, 355TH MDOS/SGOH, TUCSON, AZ 85707-4923
(520) 228-4926
Mailing address
7535 E SHORE DR, TUCSON, AZ 85715-3643
(520) 298-0651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11898
AZ
1041C0700X
Clinical Social Worker
R035089-1
NY
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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