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Individual

JENNIFER LUSTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1780 OLD HIGHWAY 50 E STE 102, UNION, MO 63084-3397
(636) 582-8100
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005020
MO

Other

Enumeration date
05/14/2008
Last updated
12/10/2015
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