Jennifer Marie Wickersham L.P.C.

NPI 1023314168 - Counselor - 101YP2500X

NPI Details
NPI 1023314168
Gender Female
Enumeration Date 02/08/2011
Last Updated 02/08/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
330 N GORE AVE
SAINT LOUIS MO, 63119-1600, US
Phone (314) 968-2060
Fax
Business Location
330 N GORE AVE
SAINT LOUIS MO, 63119-1600, US
Phone (314) 968-2060
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Missouri
License Number 002754
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According to our database, Mrs. Jennifer Marie Wickersham L.P.C. NPI is 1023314168, taxonomy code is 101YP2500X and license number is 002754, license state is located at Missouri. Jennifer Marie Wickersham L.P.C. physically located at 330 N Gore Ave, Saint Louis MO, 63119-1600. NPI Number Jennifer Marie Wickersham L.P.C. has the Individual type.

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1023314168 NPI number is provided on an as is basis without warranty of any kind. 1023314168 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Marie Wickersham L.P.C. are for informational purposes only.