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Individual

MARIE HEANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9702 183RD STREET CT E, PUYALLUP, WA 98375-6312
(253) 881-9854
Mailing address
17837 1ST AVE S, NORMANDY PARK, WA 98148-1728
(253) 765-8325

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61472768
WA

Other

Enumeration date
10/16/2019
Last updated
04/28/2026
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