Heidi Jolene Simon, LICSW
Social Worker, Clinical in Montgomery, MN. Individual provider (NPI-1).
NPI number1457069643
StatusActive
Last updated in NPPESNov 14, 2022
Details
- NPI
- 1457069643
- Entity type
- Individual (NPI-1)
- Name
- Heidi Jolene Simon
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 14197 | MN | Yes |
Practice location
9733 Kent AveMontgomery, MN 56069-4903
Phone 612-227-9310
Mailing address
9733 Kent AveMontgomery, MN 56069-4903
Phone 612-227-9310
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