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1003051509
HEATHER THANEPOHN
ROBINS AFB, GA
NPI
1003051509
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Former Name
HEATHER STIAWALT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 5419-C)
Enumeration Date
2008-12-11
Last Update Date
2015-08-14
Business Address
Dr. HEATHER THANEPOHN LCSW
655 7TH ST BLDG 700700-A 78 MDG/SGOH
ROBINS AFB, GA 31098-2227
Phone number: 478-327-2399
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Mailing Address
Dr. HEATHER THANEPOHN LCSW
655 7TH ST BLDG 700700-A 78 MDG/SGOH
ROBINS AFB, GA 31098-2227
Phone number: 478-327-2399
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