Individual
MR. CORT HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7410
Mailing address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106-3309
(860) 545-7410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10647
CT
1041C0700X
Clinical Social Worker
Primary
010647
CT
Other
Enumeration date
07/24/2019
Last updated
10/31/2019
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