| Dawn Gross Llc | |
|
11042 Manchester Rd Kirkwood MO 63122-1244 | |
| (844) 462-3492 | |
| Not Available |
| Full Name | Dawn Gross Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11042 Manchester Rd, Kirkwood, Missouri |
| Authorized Official Name and Position | Dawn Gross (OWNER) |
| Authorized Official Contact | 6363687655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Gross Llc 911 Grovena Dr Saint Louis MO 63126-1110 Ph: () - | Dawn Gross Llc 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: (844) 462-3492 |
| NPI Number | 1760997159 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760997159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2017037199 (Missouri) | Primary |
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