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Individual

MS. HEIDI MARIE OVERALL-BLOCK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.A. - L.M.F.T.

Contact information

Practice address
520 E 18TH ST, CHEYENNE, WY 82001-4618
(307) 638-1228
(307) 433-0991
Mailing address
520 E 18TH ST, CHEYENNE, WY 82001-4618
(307) 638-1228
(307) 433-0991

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
50
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
310037
BLUECROSS BLUE SHIELD
WY
Enumeration date
12/17/2005
Last updated
07/21/2022
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