Individual
MS. CHRISTINE D KORNBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW, MSW
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004695
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001133600
COMMUNITY HEALTH PLAN
—
01
—
27108011
BLUE CROSS BLUE SHIELD
—
05
—
497752204
—
MO
05
—
497752246
—
MO
Enumeration date
11/06/2006
Last updated
05/11/2018
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