Individual
HEATHER MARIE WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
601 BEST ST, STAUNTON, IL 62088-1610
(618) 520-5149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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