Individual
MISS HEATHER ANN HAROLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-1710
(386) 236-3164
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-1710
(386) 236-3164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
11/28/2012
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