Individual
GREGORY WIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4560 CLAYTON AVE, SUITE 1000, SAINT LOUIS, MO 63110-1547
(314) 286-2223
Mailing address
4560 CLAYTON AVE, SUITE 1000, SAINT LOUIS, MO 63110-1547
(314) 286-2223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002029844
MO
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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