Individual
ELIZABETH THERESE HEID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 E WASHINGTON ST STE C3, BLOOMINGTON, IL 61704-1629
(309) 205-0024
Mailing address
2416 E WASHINGTON ST STE C3, BLOOMINGTON, IL 61704-1629
(309) 212-1004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020852
IL
Other
Enumeration date
01/07/2019
Last updated
08/17/2025
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