Individual
ANNALIESE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PPSC
Contact information
Practice address
652 PETALUMA AVE, SEBASTOPOL, CA 95472-4256
(707) 504-8222
Mailing address
PO BOX 1219, SEBASTOPOL, CA 95473-1219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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