Individual
MR. ROBERT DEAN HACKLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
200 S BEMISTON AVE, STE 304, CLAYTON, MO 63105-1915
(314) 540-0078
(314) 334-0918
Mailing address
200 S BEMISTON AVE, STE 304, CLAYTON, MO 63105-1915
(314) 540-0078
(314) 334-0918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003023450
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498441401
—
MO
Enumeration date
11/02/2005
Last updated
10/11/2016
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