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Individual

GINA CLAIRE ROGGOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
16216 BAXTON RD ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE, 16216 BAXTON RD SUITE 205, CHESTERFIELD, MO 63017
(314) 534-0200
Mailing address
1129 MACKLIND AVE. - MARY STEELE, 1129 MACKLIND AVE., ST. LOUIS, MO 63110
(314) 534-0200

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014044598
MO

Other

Enumeration date
06/13/2017
Last updated
03/19/2022
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