Individual
MRS. JENNIFER C LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004927
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164475
BLUE CROSS BLUE SHIELD
MO
05
—
495841900
—
MO
Enumeration date
04/14/2006
Last updated
01/27/2010
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