Individual
MS. JAN O. NYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MSW, LCSW
Contact information
Practice address
7750 CLAYTON ROAD, SUITE 306 A, ST. LOUIS, MO 63117
(314) 249-8249
Mailing address
7750 CLAYTON ROAD, SUITE 306 A, ST. LOUIS, MO 63117
(314) 249-8249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
881186981
MO
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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