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2401 Bernadette Dr Ste 206 Columbia MO 65203-4672 | |
| (573) 355-7118 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2401 Bernadette Dr Ste 206, Columbia, Missouri |
| Authorized Official Name and Position | Julie R. Heese (OWNER) |
| Authorized Official Contact | 5733557118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7132 E Mount Hope Rd Columbia MO 65202-7620 Ph: (573) 239-3765 | 2401 Bernadette Dr Ste 206 Columbia MO 65203-4672 Ph: (573) 355-7118 |
| NPI Number | 1790599538 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790599538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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