Individual
JAY D FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10950 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
(314) 993-1000
Mailing address
10950 SCHUETZ RD, SAINT LOUIS, MO 63146-5704
(314) 993-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022046574
MO
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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