Individual
MS. MELINDA SUE HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
27 LACKAWANNA AVE, MOUNT MORRIS, NY 14510-1001
(585) 658-7857
Mailing address
27 LACKAWANNA AVE, MOUNT MORRIS, NY 14510-1001
(585) 658-7857
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
1368163191
NY
1041S0200X
School Social Worker
Primary
108058
NY
Other
Enumeration date
12/03/2019
Last updated
03/08/2021
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