Individual
ROBERT FARRELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 S NEW BALLAS RD, #112A, SAINT LOUIS, MO 63141-8232
(314) 779-9500
Mailing address
621 S NEW BALLAS RD, #112A, SAINT LOUIS, MO 63141-8232
(314) 779-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013037930
MO
Other
Enumeration date
02/04/2014
Last updated
03/22/2024
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