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Individual

HEIDI L DEGODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMSW, PMHP

Contact information

Practice address
835 S BURLINGTON AVE, SUITE 108, HASTINGS, NE 68901-6960
(402) 463-7711
(402) 461-5099
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 460-5836
(402) 460-5829

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9428
NE
104100000X
Social Worker
Primary
6773
NE

Other

Enumeration date
04/25/2013
Last updated
04/25/2013
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