Individual
DAVID GAILLARDETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3106 WYOMING ST, SAINT LOUIS, MO 63118-2130
(857) 500-0435
Mailing address
3106 WYOMING ST, SAINT LOUIS, MO 63118-2130
(857) 500-0435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
05/10/2021
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