Individual
MRS. HEIDI NICOLE KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9127 OXFORD PIKE, BROOKVILLE, IN 47012-7874
(765) 580-9613
Mailing address
9127 OXFORD PIKE, BROOKVILLE, IN 47012-7874
(765) 580-9613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008363A
IN
Other
Enumeration date
08/23/2017
Last updated
06/16/2018
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