Individual
JENNIFER M DERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
128 OAK TREE DR, SAINT LOUIS, MO 63119-4760
(314) 328-5701
(314) 408-8400
Mailing address
9051 WATSON RD #134, CRESTWOOD, MO 63126-2220
(314) 328-5701
(314) 408-8400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
005064
MO
174H00000X
Health Educator
—
—
Other
Enumeration date
05/01/2018
Last updated
07/20/2023
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