Individual
AMMIEL RENAE HEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 E ROOSEVELT ST APT 103, PHOENIX, AZ 85004-1943
(580) 763-0392
Mailing address
333 E ROOSEVELT ST APT 103, PHOENIX, AZ 85004-1943
(580) 763-0392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1361275
ID
1041C0700X
Clinical Social Worker
20461
OK
1041C0700X
Clinical Social Worker
Primary
22593
AZ
Other
Enumeration date
10/17/2024
Last updated
05/13/2025
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