Individual
MS. IAM JOPHIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8045 BIG BEND BLVD, STE 101, ST LOUIS, MO 63119-2714
(314) 800-0311
(314) 228-0367
Mailing address
PO BOX 50053, ALBUQUERQUE, NM 87181-0053
(314) 800-0311
(314) 228-0367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011035180
MO
1041C0700X
Clinical Social Worker
C-09854
NM
1041C0700X
Clinical Social Worker
CSW.09927227
CO
Other
Enumeration date
03/31/2012
Last updated
03/10/2022
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