Individual
MAIA JAY NAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
6133 PERSHING AVE APT 3, SAINT LOUIS, MO 63112-1182
(314) 226-1735
Mailing address
6133 PERSHING AVE APT 3, SAINT LOUIS, MO 63112-1182
(314) 226-1735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022033857
MO
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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