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Individual

DR. ERNEST EDWARD GARRETT III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LICSW

Contact information

Practice address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(314) 866-8116
(314) 639-9996
Mailing address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(314) 866-8116
(314) 639-9996

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16252
LA
1041C0700X
Clinical Social Worker
Primary
2011008912
MO
1041C0700X
Clinical Social Worker
4838C
AL
1041C0700X
Clinical Social Worker
8370-123
WI
1041C0700X
Clinical Social Worker
LC50080815
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
496591702
MO
Enumeration date
01/22/2019
Last updated
05/11/2024
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