Provider Information for 1578693164
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Ms. HEIDI LYNN DIJAK LMSW, CAADC
Sex: Female
NPI: 1578693164
Last Updated: 2020-02-24
Certification Date: 2020-02-24
Certification Date: 2020-02-24
Details
| Name | Value | ||||||||
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| NPI | 1578693164 | ||||||||
| Enumeration Date | 2007-03-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3491 8 MILE RD AUBURN, MI 48611-9744 United States Phone: 989-662-6239 | Fax: | ||||||||
| Primary Practice Address | 3400 S WASHINGTON RD SAGINAW, MI 48601-4958 United States Phone: 989-755-1072 | Fax:989-755-1401 | ||||||||
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