Individual
DEREK LYNN HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
702 N BLACKHAWK AVE, MADISON, WI 53705-3357
(423) 737-7933
Mailing address
541 HINMAN AVE APT A2, EVANSTON, IL 60202-3054
(423) 737-7933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11798-123
WI
1041C0700X
Clinical Social Worker
Primary
132697-121
WI
Other
Enumeration date
07/21/2022
Last updated
08/23/2024
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