Theresa Heidgerken, LICSW
NPI #1902920788 in Little Falls, Minnesota
Provider Information
- NPI Number
- 1902920788
- Entity Type
- Individual
- Name
- Theresa Heidgerken, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 43 E BROADWAY
- Address 2
- SUITE 102
- City
- Little Falls
- State
- Minnesota
- ZIP Code
- 56345-3046
- Phone
- (320) 631-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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