Individual
HEATHER A BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
371 E 1ST ST, FOND DU LAC, WI 54935-4563
(920) 907-8201
(920) 907-8209
Mailing address
40 CAMELOT DR, FOND DU LAC, WI 54935-8049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10143-123
WI
Other
Enumeration date
03/30/2020
Last updated
02/24/2023
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