Individual
HEATHER LOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-3371
Mailing address
637 N WALDOCH DR, APPLETON, WI 54913-8445
(920) 858-7592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1476-121
WI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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