Individual
CLAYCIE LEIGHANN GERLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
967 GARDENVIEW OFFICE PKWY, CREVE COEUR, MO 63141-5917
(314) 561-9757
Mailing address
830 GREEN LANTERN LN, BALLWIN, MO 63011-2818
(573) 256-9523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012027801
MO
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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