Brandon W Hetrick
Case Manager/Care Coordinator in Washington, PA. Individual provider (NPI-1).
NPI number1861708331
StatusActive
Last updated in NPPESAug 23, 2010
Details
- NPI
- 1861708331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon W Hetrick
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2010
- Last updated
- Aug 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | PA | Yes |
Practice location
71 N Main StWashington, PA 15301-4519
Phone 724-228-4218
Mailing address
1070 Old National PikeFredericktown, PA 15333-2114
Phone 724-632-6801 · Fax 724-632-6312
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All 9 Case Manager/Care Coordinator providers in Washington · All 1,394 providers in Washington
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