Individual
JENNIFER ELWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3165 MCKELVEY RD, SUITE 200, BRIDGETON, MO 63044-2550
(314) 401-7099
Mailing address
3165 MCKELVEY RD, SUITE 200, BRIDGETON, MO 63044-2550
(314) 401-7099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016010641
MO
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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