Individual
HEATHER IRENE WISEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1901 3RD ST NE FL 1, MINNEAPOLIS, MN 55418-4317
(715) 309-9450
Mailing address
1901 3RD ST NE FL 1, MINNEAPOLIS, MN 55418-4317
(715) 309-9450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21175
MN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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