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1548335102
AUDREY RUTH HEINEN
CHARDON, OH
NPI
1548335102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I7379)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
-- AUDREY RUTH HEINEN LISW
12557 RAVENWOOD DR
CHARDON, OH 44024-9009
Phone number: 440-285-3568
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Mailing Address
-- AUDREY RUTH HEINEN LISW
17030 LEGGETT RD
MONTVILLE, OH 44064-9721
Phone number: 440-968-0183
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