Individual
TRACY LEE VANDEN HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6314 ODANA RD, MADISON, WI 53719-1129
(608) 277-0610
Mailing address
414 S IOWA ST, DODGEVILLE, WI 53533-1720
(608) 935-9235
(608) 935-9044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7459-123
WI
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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