Individual
DEANN JENIFER YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 GRAVOIS RD, HOUSE SPRINGS, MO 63051-2304
(636) 321-0150
(636) 375-5157
Mailing address
227 E MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005599
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112240020
MEDICARE PTAN
MO
Enumeration date
09/30/2011
Last updated
12/29/2014
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