Individual
HEIDI M HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1010 2ND AVE S, BOX 3106, FARGO, ND 58103-8226
(701) 241-5765
(701) 241-5775
Mailing address
PO BOX 3106, FARGO, ND 58108-3106
(701) 241-5765
(701) 241-5775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3454
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/22/2006
Last updated
04/16/2014
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