Individual
JENNIFER ANN ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 355-1197
(573) 874-8608
Mailing address
1517 TIMBER CREEK DR, COLUMBIA, MO 65202-1300
(573) 355-1197
(573) 874-8608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017027585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017027585
—
MO
Enumeration date
08/04/2017
Last updated
08/04/2017
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