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Heidi Dawn Connors-Boccomino

Social Worker, Clinical in Clinton Township, MI. Individual provider (NPI-1).

NPI number1639796972
StatusActive
Last updated in NPPESJul 2, 2020

Details

NPI
1639796972
Entity type
Individual (NPI-1)
Name
Heidi Dawn Connors-Boccomino
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 2, 2020
Certification date
Jul 2, 2020
Last updated
Jul 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801087489MIYes

Practice location

37400 Garfield Rd Ste 130
Clinton Township, MI 48036-3648

Phone 586-850-2802

Mailing address

40449 Mount Vernon Dr
Sterling Heights, MI 48313-5343

Phone 586-850-2802

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