Individual
JAKEIA KIARRA BEAUFORD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 GILES AVE, SAINT LOUIS, MO 63116-4563
(314) 532-0671
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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