Provider Information for 1669953709
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GARY PAUL SCHMIDT Jr. LCSW
Sex: Male
NPI: 1669953709
Last Updated: 2022-01-29
Certification Date: 2022-01-29
Certification Date: 2022-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669953709 | ||||||||
| Enumeration Date | 2018-08-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4546 OAKLAND AVE SAINT LOUIS, MO 63110-1523 United States Phone: 573-200-1531 | Fax: | ||||||||
| Primary Practice Address | 4546 OAKLAND AVE SAINT LOUIS, MO 63110-1523 United States Phone: 573-200-1531 | Fax: | ||||||||
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