Lila Anna Gabbard, MSSW,LCSW
Social Worker, Clinical in Saint Charles, MO. Individual provider (NPI-1).
NPI number1265166367
StatusActive
Last updated in NPPESJul 13, 2022
Details
- NPI
- 1265166367
- Entity type
- Individual (NPI-1)
- Name
- Lila Anna Gabbard
- Credential
- MSSW,LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2022
- Certification date
- Jul 12, 2022
- Last updated
- Jul 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004782 | MO | Yes |
| 1041C0700X | Social Worker, Clinical | SW11494 | FL |
Practice location
1537 Wild Goose RunSaint Charles, MO 63303-2502
Phone 314-712-7314
Mailing address
1537 Wild Goose RunSaint Charles, MO 63303-2502
Phone 314-712-7314
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