Individual
MS. JESSICA LYNN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, MAILBOX 90-71-356, SAINT LOUIS, MO 63110-1003
(314) 758-6626
Mailing address
75 FRANCIS ST, DEPT. OF CARE COORDINATION, BOSTON, MA 02115-6110
(617) 732-4623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
116849
MA
Other
Enumeration date
04/01/2011
Last updated
07/11/2012
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