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1982334611
TILLIE HEITHOFF
DES MOINES, IA
NPI
1982334611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 112812)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
TILLIE HEITHOFF
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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Mailing Address
TILLIE HEITHOFF
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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