Individual
JENNIFER L SUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
223 N MAIN ST STE 209, SIKESTON, MO 63801-4211
(573) 475-6534
Mailing address
223 N MAIN ST STE 209, SIKESTON, MO 63801-4211
(573) 475-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NO NUMBERS
—
Enumeration date
10/15/2017
Last updated
07/19/2023
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