Jodie Heicklen Lmsw, Pllc

NPI #1144995986 in Berkley, Michigan

Provider Information

NPI Number: 1144995986
Entity Type: Organization
Organization Name: Jodie Heicklen Lmsw, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 13, 2021
Last Updated: Aug 13, 2021

Practice Location

Address: 1850 11 MILE RD
City: Berkley
State: Michigan
ZIP Code: 48072-3001
Phone: (917) 536-2330

Authorized Official

Name: JODIE HEICKLEN, LMSW
Title: PRESIDENT
Phone: (917) 536-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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