Individual
JESSICA HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 301-9266
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 301-9266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2015008284
MO
1041C0700X
Clinical Social Worker
Primary
2017027554
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017027554
LCSW
MO
Enumeration date
02/09/2017
Last updated
09/16/2021
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