Provider Demographics
NPI:1922122159
Name:TEEM, GABRIELE SANDRA (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELE
Middle Name:SANDRA
Last Name:TEEM
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MS
Other - First Name:GABRIELE
Other - Middle Name:SANDRA
Other - Last Name:PECHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:711 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2900
Mailing Address - Country:US
Mailing Address - Phone:816-271-4022
Mailing Address - Fax:816-271-4020
Practice Address - Street 1:711 N 36TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2900
Practice Address - Country:US
Practice Address - Phone:816-271-4022
Practice Address - Fax:816-271-4020
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040242391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical