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
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