Natalie Gough, LCSW Valid NPI
Individual provider · Clinical Social Worker · O Fallon, MO
- NPI
- 1265769020
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 005803 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-11-14
- Last updated
- 2009-11-14
Practice location
6900 Fieldstone Farms Dr
O Fallon, MO 63368-8094
(636) 300-8775