Individual
HEIDI ANNETTE BLACKSTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, MBA
Contact information
Practice address
2012 CHERRY HILL DR STE 101, COLUMBIA, MO 65203-5882
(573) 289-8144
Mailing address
1810 CALEDON CT, COLUMBIA, MO 65203-8458
(573) 289-8144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001024582
MO
Other
Enumeration date
07/04/2006
Last updated
01/17/2023
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