Individual
JENNIFER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
(314) 968-2350
Mailing address
1167 CORPORATE LAKE DR, SAINT LOUIS, MO 63132-1716
(314) 968-2350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013042510
MO
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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