DAVAUGHN Y JACKSON

SAINT LOUIS, MO
NPI1821307547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2009022179)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
-- DAVAUGHN Y JACKSON LPC
3800 S BROADWAY
SAINT LOUIS, MO 63118-4608
Phone number: 314-772-2205
Mailing Address
-- DAVAUGHN Y JACKSON LPC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962