Individual
JENNIFER NOMANBHOY WOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9666 OLIVE BLVD STE 400, SAINT LOUIS, MO 63132-3025
(314) 785-7324
(314) 754-2800
Mailing address
9666 OLIVE BLVD STE 400, SAINT LOUIS, MO 63132-3025
(314) 785-7324
(314) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2016025079
MO
1041C0700X
Clinical Social Worker
Primary
2016025079
MO
Other
Enumeration date
07/22/2018
Last updated
09/12/2018
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