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Individual

JACOB DAVID PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, MSW

Contact information

Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(844) 424-3577
Mailing address
12455 MARINE AVE, MARYLAND HEIGHTS, MO 63043-3633
(314) 379-8504

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021034284
MO

Other

Enumeration date
07/06/2016
Last updated
12/12/2025
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