Individual
CAROL HEYDLAUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
505 WILDWOOD AVE, JACKSON, MI 49201-1012
(517) 788-8440
(517) 783-4504
Mailing address
505 WILDWOOD AVE, JACKSON, MI 49201-1012
(517) 788-8440
(517) 783-4504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801019250
MI
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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