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Individual

MS. HEATHER NICOLE SURFACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
204 COOK RD, LEBANON, OH 45036-9600
(513) 932-4337
(513) 932-6750
Mailing address
204 COOK RD, LEBANON, OH 45036-9600
(513) 932-4337
(513) 932-6750

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2410294
OH
106H00000X
Marriage & Family Therapist
S.2410294
OH

Other

Enumeration date
04/08/2021
Last updated
09/23/2025
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