Provider Information for 1770013120
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HEATHER ELIZABETH RICH LMSW
Sex: Female
NPI: 1770013120
Last Updated: 2017-06-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1770013120 | ||||||||
| Enumeration Date | 2017-06-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 50 LEROY ST POTSDAM, NY 13676-1786 United States Phone: 315-265-3300 | Fax: | ||||||||
| Primary Practice Address | 50 LEROY ST POTSDAM, NY 13676-1786 United States Phone: 315-265-3300 | Fax: | ||||||||
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