Individual
MS. HALEY DANIELLE FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 669-4406
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 669-4406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022001102
MO
1041S0200X
School Social Worker
2019010860
MO
Other
Enumeration date
08/24/2021
Last updated
01/13/2022
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