Individual
DR. LAURA B JAYCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1307 AVONDALE SPRING DR, O FALLON, MO 63368-7995
(636) 795-0738
Mailing address
1307 AVONDALE SPRING DR, O FALLON, MO 63368-7995
(636) 795-0738
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2004029371
MO
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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