Heidi Phuyal, MSW, LICSW
NPI #1265898472 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1265898472
- Entity Type
- Individual
- Name
- Heidi Phuyal, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jan 5, 2016
Practice Location
- Address
- 5414 W OLD SHAKOPEE CIR
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-2766
- Phone
- (952) 888-5611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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