Individual
JESSICA HEFFELFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 ARBOR BLVD, MORAINE, OH 45439-1521
(937) 222-9481
Mailing address
2450 ANTLER CT, FAIRBORN, OH 45324-9219
(910) 528-9763
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1902003-TRNE
OH
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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