Individual
JACQUELINE LOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10420 OLD OLIVE STREET ROAD, SUITE 205, ST. LOUIS, MO 63141-5937
(314) 504-4698
(314) 692-9978
Mailing address
10420 OLD OLIVE STREET ROAD, SUITE 205, ST. LOUIS, MO 63141-5937
(314) 504-4698
(314) 692-9978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014032120
MO
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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