Individual
MR. NATHANIEL GRANT HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8008 CARONDELET AVE STE 308, CLAYTON, MO 63105-1724
(314) 391-8030
(833) 969-0194
Mailing address
2310 RUTGER ST APT C, SAINT LOUIS, MO 63104-2443
(314) 599-6584
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
149018027
IL
1041C0700X
Clinical Social Worker
Primary
2017016025
MO
Other
Enumeration date
12/21/2010
Last updated
03/16/2021
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