Individual
JESSICA LYNN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
508 BAYVIEW POINTE CT, LAKE ST LOUIS, MO 63367-4321
(573) 647-6305
Mailing address
508 BAYVIEW POINTE CT, LAKE ST LOUIS, MO 63367-4321
(573) 647-6305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021020643
MO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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