Individual
JACELYNN CECILY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8000
Mailing address
8370 ELMORE AVE, SAINT LOUIS, MO 63132-2826
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022030685
MO
Other
Enumeration date
08/04/2022
Last updated
11/15/2022
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