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1710186507
KEVIN RAY HEISKALA
HAGERSTOWN, MD
NPI
1710186507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 60597)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
Mr. KEVIN RAY HEISKALA MSW
1180 PROFESSIONAL CT
HAGERSTOWN, MD 21740-5852
Phone number: 301-791-3045
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Mailing Address
Mr. KEVIN RAY HEISKALA MSW
1180 PROFESSIONAL CT
HAGERSTOWN, MD 21740-5852
Phone number: 301-791-3045
Copy
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