Individual
GAYLE HEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4236 LINDELL BLVD, SUITE 200, SAINT LOUIS, MO 63108-2948
(314) 531-1155
(314) 531-1170
Mailing address
1847 CHARITY CT, FENTON, MO 63026-2675
(636) 225-1260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013013522
MO
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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