Individual
ANDREA HEEZEN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7616 CURRELL BLVD STE 100, WOODBURY, MN 55125-2295
(651) 259-9750
(651) 259-9790
Mailing address
7616 CURRELL BLVD STE 100, WOODBURY, MN 55125-2295
(651) 259-9750
(651) 259-9790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14993
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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