Individual
ALISSA CARA JECKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5549 HIGHWAY K, BRIGHTON, MO 65617-7256
(417) 376-2238
Mailing address
5549 HWY K, PO BOX 617, BRIGHTON, MO 65617-0617
(417) 376-2238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2012025060
MO
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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