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NPI Code Detail

MEDICARE: GAIL B SWEET LPC

MEDICARE:   GAIL B SWEET  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2001004032MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12001004032OTHERMOLPC

General Provider Information

NPI Number : 1477726230
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL B SWEET LPC
Provider Business Mailing Address
First Line : 3309 S KINGSHIGHWAY BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-1101
Country : US
Telephone Number : 314-534-9350
Fax Number : 314-533-6047
Provider Business Practice Location Address
First Line : 4926 REBER PL
Second Line : 3309 S. KINGSHIGHWAY BLVD.
City : SAINT LOUIS
State : MO
Zip : 63139-1028
Country : US
Telephone Number : 314-534-9350
Fax Number : 314-533-6047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/15/2008

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Directions to “ GAIL B SWEET LPC” Practice Location

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