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1679584783
WALTER HEIZENROTH
COATESVILLE, PA
NPI
1679584783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: PA PS005637L)
Enumeration Date
2006-08-11
Last Update Date
2016-10-18
Business Address
-- WALTER HEIZENROTH
1400 BLACKHORSE HILL RD
COATESVILLE, PA 19320-2040
Phone number: 610-384-7711
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Mailing Address
-- WALTER HEIZENROTH
6 WOODVIEW RD
MALVERN, PA 19355-2119
Phone number: 610-948-0981
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