Individual
MR. CLIFTON GLORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9 HILLTOP VILLAGE CENTER DR, EUREKA, MO 63025-1106
(314) 306-5717
Mailing address
5016 THOLOZAN AVE, APT. 1E, SAINT LOUIS, MO 63109-1737
(314) 306-5717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011018776
MO
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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