Individual
HEATHER MANDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3679
Mailing address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3679
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
1022-61
WI
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
01/28/2025
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