Individual
CHRISTINE SUE HEFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5360 HOLIDAY TER STE 32, KALAMAZOO, MI 49009-2126
(269) 251-1494
Mailing address
58295 KRISTINA CIR W, PAW PAW, MI 49079-8605
(269) 929-0210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093479
MI
1041C0700X
Clinical Social Worker
6801093479
MI
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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