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NPI Code Detail

MEDICARE: KERRIANNE GALLEN LCSW

MEDICARE:   KERRIANNE  GALLEN  LCSW
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
11041C0700XClinical Social Worker2014038520MO

General Provider Information

NPI Number : 1528339728
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRIANNE GALLEN LCSW
Provider Business Mailing Address
First Line : 7346 MANCHESTER RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63143-3108
Country : US
Telephone Number : 314-967-5439
Fax Number :
Provider Business Practice Location Address
First Line : 7346 MANCHESTER RD
Second Line :
City : MAPLEWOOD
State : MO
Zip : 63143-3108
Country : US
Telephone Number : 314-967-5439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2012
Last Update Date : 10/24/2025

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Directions to “ KERRIANNE GALLEN LCSW” Practice Location

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