Individual
JANE WALSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 MAIN ST, VALLEY PARK, MO 63088-1573
(636) 923-3654
(636) 225-4518
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(636) 923-3654
(636) 225-4518
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
004679
MO
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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