Individual
JENNIFER MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 877-5958
Mailing address
3943 HUMPHREY ST, SAINT LOUIS, MO 63116-3804
(314) 775-6426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010022494
MO
1041C0700X
Clinical Social Worker
22407
CA
Other
Enumeration date
08/31/2006
Last updated
11/08/2013
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