Individual
HEAVIN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2505 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2419
(314) 210-8548
Mailing address
2505 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2419
(314) 210-8548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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