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Individual

MRS. HEIDI MICHELLE CHARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682
Mailing address
128 WASHINGTON SQ, WASHINGTON, IL 61571-2657
(800) 773-1682

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.007338
IL

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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