Individual
HEATHER MICHELLE RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 FORUM BLVD STE 4A, COLUMBIA, MO 65203-5468
(573) 340-5145
Mailing address
2207 SILVER LEAF CT, COLUMBIA, MO 65201-9864
(913) 449-6620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018043947
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578996690
—
MO
Enumeration date
08/12/2013
Last updated
11/11/2022
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