Individual
JACQUELINE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW, RPT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
05530
KS
104100000X
Social Worker
Primary
2020028261
MO
Other
Enumeration date
09/20/2018
Last updated
11/03/2023
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