Individual
LYNN HEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11870 ULYSSES ST NE STE 200, BLAINE, MN 55434-4193
(763) 482-9598
(612) 235-6447
Mailing address
2915 123RD CIR NE, BLAINE, MN 55449-5878
(612) 790-3402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22097
MN
Other
Enumeration date
12/26/2012
Last updated
04/06/2023
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