Individual
MR. FORREST CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 BROOKINGS DR, SAINT LOUIS, MO 63130-4862
(314) 935-6649
(314) 935-8515
Mailing address
1201 BROOKINGS DR, C B 1201, SAINT LOUIS, MO 63130
(314) 935-6666
(314) 935-5781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004646
MO
Other
Enumeration date
06/28/2013
Last updated
10/26/2015
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