Individual
HEATHER CRONEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LICSW
Contact information
Practice address
501 ARROWHEAD LN, MOOSE LAKE, MN 55767-7707
(218) 380-0175
Mailing address
PO BOX 463, MOOSE LAKE, MN 55767-0463
(218) 380-0175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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