Individual
HEATHER LYNN BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4285 N RANCHO DR, STE 130, LAS VEGAS, NV 89130-3446
(702) 385-5331
(702) 385-5678
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 694-0004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5839-S
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/29/2010
Last updated
09/19/2019
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