Individual
HEATHER ANNE COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1284 JUNGERMANN RD, SAINT PETERS, MO 63376-6966
(314) 484-6198
Mailing address
1284 JUNGERMANN RD, SAINT PETERS, MO 63376-6966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009012144
MO
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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