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Individual

HEIDI SCHILTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1420 N STATE ST, FAIRMONT, MN 56031-3619
(507) 235-6070
Mailing address
38414 40TH ST, ELMORE, MN 56027-2089
(507) 943-3602

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC000404
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC00404
LICENSE
MN
Enumeration date
11/21/2013
Last updated
12/13/2013
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