GENEVIEVE HEIDRICH

PORT JEFFERSON, NY
NPI1790839272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R0402081)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
GENEVIEVE HEIDRICH LCSW
646 MAIN STREET
PORT JEFFERSON, NY 11777
Phone number: 631-928-4148
Mailing Address
GENEVIEVE HEIDRICH LCSW
646 MAIN STREET
PORT JEFFERSON, NY 11777
Phone number: 631-928-4148