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1346658465
JESSICA BACK
COLUMBIA, MO
NPI
1346658465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2014012882)
Enumeration Date
2014-08-01
Last Update Date
2014-08-01
Business Address
JESSICA BACK LCSW
2804 FORUM BLVD 3A
COLUMBIA, MO 65203-6322
Phone number: 573-446-6290
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Mailing Address
JESSICA BACK LCSW
2804 FORUM BLVD 3A
COLUMBIA, MO 65203-6322
Phone number: 573-446-6290
Copy
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