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Individual

HEIDI LYNN BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Mailing address
PO BOX 445, LA HABRA, CA 90633-0445

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW104436
CA
104100000X
Social Worker
Primary
ASW104436
CA

Other

Enumeration date
11/01/2021
Last updated
07/27/2023
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