Individual
HEANEY NICOLE JAKOBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 COOPER ST, AGAWAM, MA 01001-2192
(413) 333-2400
(413) 789-4735
Mailing address
55 COOPER ST, AGAWAM, MA 01001-2192
(413) 333-2400
(413) 789-4735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
221415
MA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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