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1720296841
KEITH HEIMFORTH
MADISON, WI
NPI
1720296841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 857)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
KEITH HEIMFORTH MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
KEITH HEIMFORTH MSSW
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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