Individual
JASON DRIEDGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4531 WEBER RD, SAINT LOUIS, MO 63123-5700
(314) 256-8620
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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