Individual
MRS. JAMIE LEE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5000 WEST NATIONAL AVENUE, BUILDING 43 ROOM 206, MILWAUKEE, WI 53295
(414) 384-2000
(414) 902-5430
Mailing address
5000 W NATIONAL AVE, BUILDING 43 ROOM 206, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 902-5430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7390
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
WI
Enumeration date
12/16/2015
Last updated
12/16/2015
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