PHYLLIS JACKSON

SAINT LOUIS, MO
NPI1891133898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  I-06925)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
-- PHYLLIS JACKSON LISW
12647 OLIVE BLVD SUITE 600
SAINT LOUIS, MO 63141-6393
Phone number: 800-325-3982
Mailing Address
-- PHYLLIS JACKSON LISW
12647 OLIVE BLVD SUITE 600
SAINT LOUIS, MO 63141-6393
Phone number: 800-325-3982
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