Individual
TAYLOR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 GREYMORE DR, CHESTERFIELD, MO 63017-3338
(314) 761-6662
Mailing address
10 GREYMORE DR, CHESTERFIELD, MO 63017-3338
(314) 761-6662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022019857
MO
Other
Enumeration date
09/26/2022
Last updated
04/23/2026
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