Individual
MRS. JENNIFER MARIE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1450 SAINT BERNADETTE LN, FLORISSANT, MO 63031-7825
(314) 440-7430
Mailing address
1450 SAINT BERNADETTE LN, FLORISSANT, MO 63031-7825
(314) 440-7430
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2001001456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001001456
—
MO
Enumeration date
09/09/2015
Last updated
09/09/2015
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