Individual
PAMELA MAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 GRAHAM RD, FLORISSANT, MO 63031-8077
(314) 953-6801
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2360
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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