Individual
MS. HEATHER DIANE ECKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6722 RACCOON RD, GRANBY, MO 64844-7111
(417) 499-2899
Mailing address
6722 RACCOON RD, GRANBY, MO 64844-7111
(417) 499-2899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006018798
MO
171W00000X
Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493736300
—
MO
Enumeration date
02/26/2007
Last updated
05/27/2008
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