Individual
JESSICA WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019000698
MO
1041C0700X
Clinical Social Worker
Primary
2021023246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490077869
—
MO
Enumeration date
04/05/2019
Last updated
06/13/2022
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