Individual
MRS. HEIDI CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 MAPLE RIDGE RD, TURNER, ME 04282-3779
(207) 225-2784
Mailing address
11 MAPLE RIDGE RD, TURNER, ME 04282-3779
(207) 225-2784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8130
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100332
ANTHEM BC AND BS
ME
Enumeration date
03/20/2007
Last updated
07/08/2007
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