Individual
HEIDI GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 OKLAHOMA AVE, TRENTON, MO 64683-2565
(660) 359-4600
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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