Individual
MRS. HEATHER KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
1130 W MARKET ST, LIMA, OH 45805-2710
(419) 228-2070
Mailing address
1130 W MARKET ST, LIMA, OH 45805-2710
(419) 228-2070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0024858 SUPV
OH
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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