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Individual

JESSICA M ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
11520 SAINT CHARLES ROCK RD STE 103, BRIDGETON, MO 63044-2732
(314) 312-2551
(314) 227-9331
Mailing address
1302 MIRANDY DR, SAINT LOUIS, MO 63146-5450
(314) 779-6314

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019013902
MO

Other

Enumeration date
07/03/2019
Last updated
02/01/2024
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