Individual
MR. GEORGE LEROY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
932 BEACH AVE, SAINT LOUIS, MO 63112-2020
(314) 721-2180
Mailing address
932 BEACH AVE, SAINT LOUIS, MO 63112-2020
(314) 721-2180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003114
MO
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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