Individual
JESSICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
7460 HALPIN DR, SAINT LOUIS, MO 63135-3426
(314) 532-4855
Mailing address
7460 HALPIN DR, SAINT LOUIS, MO 63135-3426
(314) 532-4855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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