Individual
HEIDI COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3743 MAIN ST, KANSAS CITY, MO 64111-1912
(816) 809-5345
Mailing address
3743 MAIN ST, KANSAS CITY, MO 64111-1912
(816) 809-5345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019047822
MO
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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