NPI 1003155243

Kelly M Heironimus, LMSW

Practitioner Clinical Social Worker Sikeston, MO

Practice location

Address: 760 Plantation Blvd, Sikeston, MO 63801-5736
Phone: (573) 471-0800
Fax: (573) 471-0810
Mailing address: 760 Plantation Blvd PO Box 1043, Sikeston, MO 63801-5736

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2012035820 (MO)

Other Social Worker providers in Missouri →

Registry record

NPI: 1003155243
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2013
Record last updated: 7 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.