Individual
MS. HEIDI S EICKEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10425 OLD OLIVE STREET RD STE 200, SAINT LOUIS, MO 63141-5929
(314) 852-2470
Mailing address
1454 CHANDELLAY DR, SAINT LOUIS, MO 63146-4803
(314) 852-2470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW005189
MO
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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