Organization
MARSHALL JACKSON GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE MARSHALL-MOORE MSW (OWNER)
(314) 645-1075
Entity
Organization
Contact information
Practice address
1606 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 645-1076
(314) 645-5135
Mailing address
1606 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 645-1076
(314) 645-5135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002365
MO
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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