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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL SJERVEN LCSW (BEHAVIORAL HEALTH THERAPIST)
(314) 719-6935
Entity
Organization

Contact information

Practice address
4107 WYOMING ST, SAINT LOUIS, MO 63116-3934
(314) 719-6935
Mailing address
4107 WYOMING ST, SAINT LOUIS, MO 63116-3934
(314) 719-6935

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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