Individual
MRS. MILDRED ELIZABETH FORTUNE-GILPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 206-3900
(314) 206-3992
Mailing address
1150 GRAHAM RD STE 102, FLORISSANT, MO 63031-8077
(314) 206-3900
(314) 206-3992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002014992
MO
Other
Enumeration date
07/26/2006
Last updated
12/17/2019
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