Individual
BENJAMIN HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Mailing address
858 E 29TH ST, BROOKLYN, NY 11210-2927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
106475-01
NY
1041C0700X
Clinical Social Worker
Primary
09929313
CO
Other
Enumeration date
06/19/2019
Last updated
09/19/2023
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