Individual
HEIDI BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
107 HOWARD ST, MOUNT VERNON, OH 43050-3548
(740) 392-1450
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2106823
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2021
Last updated
09/15/2021
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