KEITH HEIMFORTH

MADISON, WI
NPI1720296841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  857)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
-- KEITH HEIMFORTH MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
Mailing Address
-- KEITH HEIMFORTH MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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