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1982194668
JODIE REBECCA HEICKLEN
SOUTHFIELD, MI
NPI
1982194668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801093976)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
Mrs. JODIE REBECCA HEICKLEN LMSW
17344 W 12 MILE RD STE 207
SOUTHFIELD, MI 48076-6321
Phone number: 917-536-2330
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Mailing Address
Mrs. JODIE REBECCA HEICKLEN LMSW
25507 HEREFORD DR
HUNTINGTON WOODS, MI 48070-1639
Phone number: 917-536-2330
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