Individual
JENNIFER L MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007007346
STATE LICENSE
MO
Enumeration date
10/30/2017
Last updated
10/30/2017
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