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1326462169
AMANDA M. HEITMULLER
HATTIESBURG, MS
NPI
1326462169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7678)
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
-- AMANDA M. HEITMULLER LCSW
1110 ESTELLE ST
HATTIESBURG, MS 39402-2714
Phone number: 512-698-2526
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Mailing Address
-- AMANDA M. HEITMULLER LCSW
1110 ESTELLE ST
HATTIESBURG, MS 39402-2714
Phone number: 512-698-2526
Copy
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