Individual
DR. JENNIFER SW GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2001031420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496072703
—
MO
Enumeration date
05/09/2006
Last updated
01/25/2022
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