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Individual

MRS. JANE JOAN CALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
3165 MCKELVEY RD, SUITE 200, BRIDGETON, MO 63044-2550
(314) 206-3451
(314) 206-3992
Mailing address
3165 MCKELVEY RD, SUITE 200, BRIDGETON, MO 63044-2550
(314) 206-3451
(314) 206-3992

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001025432
MO

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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