Individual
KIRSTEN M HEITKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 S OAK ST, WINCHESTER, IN 47394-2244
(765) 584-1735
(765) 584-5407
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008640A
IN
Other
Enumeration date
11/05/2019
Last updated
01/22/2020
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