Individual
TERRA GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-1803
(636) 296-6206
(636) 296-6213
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
08/20/2024
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