Individual
LILA ANNA GABBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW,LCSW
Contact information
Practice address
1537 WILD GOOSE RUN, SAINT CHARLES, MO 63303-2502
(314) 712-7314
Mailing address
1537 WILD GOOSE RUN, SAINT CHARLES, MO 63303-2502
(314) 712-7314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004782
MO
1041C0700X
Clinical Social Worker
SW11494
FL
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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