Individual
JAYDEN MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
760 PLANTATION BLVD, SIKESTON, MO 63801-5736
(573) 471-0800
(573) 471-2574
Mailing address
PO BOX 1043, SIKESTON, MO 63801-1043
(573) 471-0800
(573) 471-2574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2024022068
MO
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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