Individual
JACQUELINE ROSE SELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3109 S GRAND BLVD STE 200J, SAINT LOUIS, MO 63118-1039
(144) 021-1993
Mailing address
3109 S GRAND BLVD STE 200J, SAINT LOUIS, MO 63118-1039
(144) 021-1993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016012865
MO
Other
Enumeration date
09/15/2011
Last updated
11/13/2023
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