Individual
OLIVIA MCGAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
701 JANUARY AVE, FERGUSON, MO 63135-1807
(314) 989-7592
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-7592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016044092
MO
Other
Enumeration date
07/31/2020
Last updated
05/04/2021
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