Individual
MONTANA B JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
504 VILLAR ST, FREDERICKTOWN, MO 63645-1042
(573) 910-4311
Mailing address
11 S DIVISION ST STE A, BONNE TERRE, MO 63628-1701
(573) 723-1100
(573) 723-1130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025044483
MO
Other
Enumeration date
12/06/2022
Last updated
02/09/2026
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