Individual
MICHAEL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
12125 WOODCREST EXECUTIVE DR STE 110, SAINT LOUIS, MO 63141-5009
(314) 275-8599
Mailing address
12125 WOODCREST EXECUTIVE DR STE 110, SAINT LOUIS, MO 63141-5009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005001212
MO
Other
Enumeration date
11/10/2014
Last updated
12/30/2014
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