Individual
DENNIS BLUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 214-2314
(573) 814-2784
Mailing address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 214-2314
(573) 814-2784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011040124
MO
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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