JENNIFER R LANE

FERGUSON, MO
NPI1366184079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2022050174)
Additional Taxonomies101YS0200X Counselor, School
Enumeration Date2022-04-12
Last Update Date2024-03-04
Business Address
JENNIFER R LANE
200 CHURCH ST
FERGUSON, MO 63135-2413
Phone number: 314-824-2042
Mailing Address
JENNIFER R LANE
2342 HICKORY ST
SAINT LOUIS, MO 63104-2419
Phone number: 314-583-5108