Individual
AARON WILLIAM HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1212 S 70TH ST, MILWAUKEE, WI 53214-3105
(414) 453-1400
(414) 453-2538
Mailing address
1212 S 70TH ST, MILWAUKEE, WI 53214-3105
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7170-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40988700
—
WI
Enumeration date
08/09/2006
Last updated
07/09/2007
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