Individual
JAMES J VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 JEFFERSON BARRACKS DR BLDG 51, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR BLDG 51, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430687806
—
MO
Enumeration date
01/30/2018
Last updated
01/30/2018
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