Individual
MS. HEIDI L FRETHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 845-4008
(904) 845-4018
Mailing address
1615 DONALD ST, JACKSONVILLE, FL 32205-8607
(904) 845-4008
(904) 845-4018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101332500
—
FL
Enumeration date
08/29/2012
Last updated
11/13/2019
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