Most Relevant Information
Provider Data
| NPI Number: | 1003826215 |
| Provider Name: | GAIL JEAN HEITZ LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 037713 |
Most Important Dates
| Enumeration Date: | 08/09/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
287 GREENS FARMS RD
WESTPORT
CT
068806225
Practice Location Phone/Fax
| Phone: | 2032560851 |
| Fax: | 2032560851 |
Provider Mailing Location
287 GREENS FARMS RD
WESTPORT
CT
068806225
Provider Mailing Phone/Fax
| Phone: | 2032560851 |
| Fax: | 2032560851 |