Individual
MS. ROSEMARY B JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1424
(314) 371-6500
(314) 371-6508
Mailing address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1424
(314) 371-6500
(314) 371-6508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001760
MO
Other
Enumeration date
05/17/2007
Last updated
10/18/2007
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