Individual
MS. JILL LOUISE MEDINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
130 S BEMISTON AVE STE 704A, SAINT LOUIS, MO 63105-1913
(314) 721-1587
Mailing address
130 S BEMISTON AVE STE 704A, SAINT LOUIS, MO 63105-1913
(314) 368-8599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW001304
MO
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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