Individual
GEORGEAN RUSTEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1215 FERN RIDGE PKWY STE 110, SAINT LOUIS, MO 63141-4405
(314) 690-7804
Mailing address
1215 FERN RIDGE PKWY STE 110, SAINT LOUIS, MO 63141-4405
(314) 275-8599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001092
MO
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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