| Jodie Heicklen Lmsw, Pllc | |
|
1850 11 Mile Rd Berkley MI 48072-3001 | |
| (917) 536-2330 | |
| Not Available |
| Full Name | Jodie Heicklen Lmsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1850 11 Mile Rd, Berkley, Michigan |
| Authorized Official Name and Position | Jodie Heicklen (PRESIDENT) |
| Authorized Official Contact | 9175362330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodie Heicklen Lmsw, Pllc 25507 Hereford Dr Huntington Woods MI 48070-1639 Ph: () - | Jodie Heicklen Lmsw, Pllc 1850 11 Mile Rd Berkley MI 48072-3001 Ph: (917) 536-2330 |
| NPI Number | 1144995986 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144995986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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