The Rewired Brain LLC
NPI #1669168951 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1669168951
- Entity Type
- Organization
- Organization Name
- The Rewired Brain LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 11, 2023
- Last Updated
- Jul 2, 2023
Practice Location
- Address
- 1537 WILD GOOSE RUN
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63303-2502
- Phone
- (314) 712-7314
Authorized Official
- Name
- LILA ANNA GABBARD
- Title
- PRESIDENT
- Phone
- (314) 941-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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