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Individual

HEIDI ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
400 N WASHINGTON ST STE 130B, FARMINGTON, MO 63640-1716
(573) 535-9398
Mailing address
7455 SPROTT RD, SAINTE GENEVIEVE, MO 63670-8223
(573) 535-9398

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013040830
MO

Other

Enumeration date
01/14/2017
Last updated
02/12/2021
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