Individual
BAYLEE GERSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-5560
Mailing address
PO BOX 1128, JEFFERSON CITY, MO 65102-1128
(573) 632-5560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2020025685
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490100136
—
MO
Enumeration date
07/27/2021
Last updated
01/25/2023
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