Individual
MS. HEIDI HARTDEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12320 HWY 44 BLDG 3D, GONZALES, LA 70734
(225) 218-4803
Mailing address
20340 PULIGNY AVE, BATON ROUGE, LA 70817-7712
(225) 218-4803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8268
LA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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