Individual
MICHELE ENNY CLEAVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1430 OLIVE ST, SUITE 500, SAINT LOUIS, MO 63103-2303
(314) 206-3755
(314) 206-3721
Mailing address
1430 OLIVE ST, SUITE 500, SAINT LOUIS, MO 63103-2303
(314) 206-3755
(314) 206-3721
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003923
MO
171M00000X
Case Manager/Care Coordinator
003923
MO
Other
Enumeration date
06/25/2010
Last updated
03/26/2025
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