Individual
MRS. LINDA M HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
625 E MADISON AVE STE 6, RIVERTON, WY 82501-4712
(130) 785-1395
Mailing address
1018 EASTVIEW DR, RIVERTON, WY 82501-2616
(130) 785-1395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW#653
WY
Other
Enumeration date
10/09/2009
Last updated
11/29/2012
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