Larry Allen Heald, BSW

NPI #1063536183 in Benton Harbor, Michigan

Provider Information

NPI Number: 1063536183
Entity Type: Individual
Name: Larry Allen Heald, BSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BSW
Enumeration Date: Mar 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1485 SOUTH M-139
City: Benton Harbor
State: Michigan
ZIP Code: 49022
Phone: (269) 925-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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