Individual
MS. JACQUELINE M DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCSW
Contact information
Practice address
11564 HEREFORDSHIRE DRIVE, ST LOUIS, MO 63138-3533
(314) 869-2392
Mailing address
11564 HEREFORDSHIRE DRIVE, ST LOUIS, MO 63138-3533
(314) 869-2392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003628
MO
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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