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NPI Code Detail

MEDICARE: HEATHER OFFUTT MSW

MEDICARE:   HEATHER  OFFUTT  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1578278107
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER OFFUTT MSW
Provider Business Mailing Address
First Line : 3700 CANTRELL RD APT 309
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-1842
Country : US
Telephone Number : 863-591-5839
Fax Number :
Provider Business Practice Location Address
First Line : 3700 CANTRELL RD APT 309
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-1842
Country : US
Telephone Number : 863-591-5839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 08/19/2024

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Directions to “ HEATHER OFFUTT MSW” Practice Location

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