Individual
MARY E HECK
Active
Individual
MARY E HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017870
PA
1041C0700X
Clinical Social Worker
SW119348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119348
SOCIAL WORK LICENSE
MA
Enumeration date
08/28/2009
Last updated
02/16/2023
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