Organization
CLAYCIE GERLT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAHZAD (MANSGER)
(314) 656-6510
Entity
Organization
Contact information
Practice address
830 GREEN LANTERN LN, BALLWIN, MO 63011
(314) 656-6510
Mailing address
830 GREEN LANTERN LN, BALLWIN, MO 63011
(314) 656-6510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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