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Individual

JERRY ST LOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
5145 SHERIFF RD NE, WASHINGTON, DC 20019-5533
(954) 778-7671
Mailing address
5145 SHERIFF RD NE, WASHINGTON, DC 20019-5533
(954) 778-7671

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50082018
DC
1041C0700X
Clinical Social Worker
Primary
DC

Other

Enumeration date
01/06/2022
Last updated
02/03/2022
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