Individual
HEIDI LEIGH DUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
21214
MN
1041C0700X
Clinical Social Worker
CW017064
PA
225X00000X
Occupational Therapist
Primary
104613
MN
Other
Enumeration date
08/30/2011
Last updated
03/05/2014
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