Individual
MRS. JESSICA DENISE ATKOCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
6477 WANDA AVE, SAINT LOUIS, MO 63116-2129
(314) 803-9906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017044319
MO
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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