Individual
MR. GARY JOSEPH MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
998 E GANNON DR, SUITE 120, FESTUS, MO 63028-2663
(636) 931-2900
Mailing address
1147 HIGHWAY NN, FREDERICKTOWN, MO 63645-8215
(636) 485-7851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003000572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758449805
—
MO
Enumeration date
07/06/2006
Last updated
04/28/2014
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