Individual
CARLY HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 CHASE AVE, CORDOVA, AK 99574-0559
(907) 424-8000
(907) 424-8116
Mailing address
54581 CALIFORNIA RD, DOWAGIAC, MI 49047-9237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
09/15/2025
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