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Individual

MRS. DEBORAH LYNN GEGG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7919 BIG BEND BLVD STE B, WEBSTER GROVES, MO 63119-2703
(314) 566-4247
Mailing address
11 ANGEST LANE, WEBSTER GROVES, MO 63119
(314) 566-4247

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005540
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
499134104
MO
Enumeration date
02/09/2006
Last updated
06/19/2012
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