Individual
JESSICA KAY HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
12016 CHARWICK DR, SAINT LOUIS, MO 63128-1705
(314) 730-6787
Mailing address
12016 CHARWICK DR, SAINT LOUIS, MO 63128-1705
(314) 650-6811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14184459-3501
UT
1041C0700X
Clinical Social Worker
Primary
2015028629
MO
Other
Enumeration date
02/23/2019
Last updated
03/18/2025
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