Individual
HEATHER BOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, APSW
Contact information
Practice address
705 RIVARD ST, SOMERSET, WI 54025-7455
(651) 319-1102
Mailing address
PO BOX 251, BALDWIN, WI 54002-0251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
127281-121
WI
1041C0700X
Clinical Social Worker
Primary
17684
MN
Other
Enumeration date
05/25/2009
Last updated
05/25/2009
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