Individual
MRS. HEIDI ANN PRITZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 MAPLE ST., WOODRUFF, WI 54568
(715) 356-8740
(715) 356-8525
Mailing address
240 MAPLE ST., WOODRUFF, WI 54568
(715) 356-8740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8109-123LCSW
WI
1041C0700X
Clinical Social Worker
8109-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS OF ENROLL
—
WI
Enumeration date
05/10/2016
Last updated
11/01/2017
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