Individual
MR. JERALD L MAHLAU-HEINERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 WESTOVER AVE SW, BOLLING AFB, DC 20032-7432
(757) 818-4008
Mailing address
70 WESTOVER AVE SW, BOLLING AFB, DC 20032-7432
(757) 818-4008
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1030265
MA
Other
Enumeration date
06/14/2007
Last updated
02/04/2024
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