Individual
GLORIA DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3115 S GRAND BLVD STE 300, SAINT LOUIS, MO 63118-1046
(636) 323-9829
(314) 552-7051
Mailing address
3115 S GRAND BLVD STE 300, SAINT LOUIS, MO 63118-1046
(636) 323-9829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011029972
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
LCSW
MO
Enumeration date
06/27/2012
Last updated
04/27/2023
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