Individual
KATHY M. HEGGENSTALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
5002 KITSAP WAY, #206, BREMERTON, WA 98312-2359
(360) 782-1700
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RC00030118
WA
Other
Enumeration date
01/02/2007
Last updated
05/08/2008
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