Individual
AUDREY RUTH HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Mailing address
17030 LEGGETT RD, MONTVILLE, OH 44064-9721
(440) 968-0183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I7379
OH
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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