Individual
HEIDI ROSE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LISW,LIDCD
Contact information
Practice address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
Mailing address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I.1600307
OH
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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