Individual
MR. EDWIN JAMES HEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11 BARTLETT LN, CODY, WY 82414-8861
(307) 272-1306
Mailing address
11 BARTLETT LN, CODY, WY 82414-8861
(307) 272-1306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-312
WY
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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