Individual
GEROLD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(618) 960-7289
Mailing address
4604 CECIL PL, SAINT LOUIS, MO 63116-1122
(815) 575-1264
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2025004832
MO
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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