Individual
MRS. JENNIFER L SEBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 E ELM ST STE 11, O FALLON, MO 63366-2649
(636) 387-3851
Mailing address
21 BARTLEY ST, SAINT PETERS, MO 63376-2720
(636) 387-3851
(636) 441-3923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396020244
—
MO
Enumeration date
10/11/2011
Last updated
05/09/2012
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