Individual
HEIDI MARIE TIPPETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8800 THORNTON ROLLING RD, FREDERICKSBURG, VA 22408-1702
(540) 373-7656
Mailing address
8800 THORNTON ROLLING RD, FREDERICKSBURG, VA 22408-1702
(540) 373-7656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005157
VA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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