Individual
MISS CHLOE CIARRA SMITH-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4222 SUMMIT KNOLL DR APT I, SAINT LOUIS, MO 63129-7530
(618) 367-6586
Mailing address
4222 SUMMIT KNOLL DR APT I, SAINT LOUIS, MO 63129-7530
(618) 367-6586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.021464
IL
Other
Enumeration date
09/27/2018
Last updated
09/10/2020
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