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KEYRIA SHANTELL JEFFRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2617 SHENANDOAH AVE, ST. LOUIS, MO 63104
(314) 399-1576
Mailing address
2617 SHENANDOAH AVE, SAINT LOUIS, MO 63104-2311
(314) 399-1576

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016036063
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016036063
MSW
MO
Enumeration date
08/25/2017
Last updated
07/21/2022
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