Philip W Heagerty, LSW

NPI #1053522706 in Dover, Ohio

Provider Information

NPI Number: 1053522706
Entity Type: Individual
Name: Philip W Heagerty, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 201 HOSPITAL DR
City: Dover
State: Ohio
ZIP Code: 44622-2058
Phone: (330) 343-6631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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