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1215400791
ELIZABETH THERESE HEID
BLOOMINGTON, IL
NPI
1215400791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.020852)
Enumeration Date
2019-01-07
Last Update Date
2020-06-15
Business Address
ELIZABETH THERESE HEID
2302 E OAKLAND AVE STE 7
BLOOMINGTON, IL 61701-5875
Phone number: 309-205-0024
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Mailing Address
ELIZABETH THERESE HEID
15 CAMERON CT
BLOOMINGTON, IL 61704-8330
Phone number: 309-212-1004
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