Organization
GREAT CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWNA M WEERTS LMSW (THERAPIST)
(314) 780-7532
Entity
Organization
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2012002433
MO
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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