Jessica Street, LCSW

NPI #1225792450 in Manchester, Missouri

Provider Information

NPI Number: 1225792450
Entity Type: Individual
Name: Jessica Street, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 25, 2021
Last Updated: Feb 16, 2024

Practice Location

Address: 128 ENCHANTED PKWY STE 100
City: Manchester
State: Missouri
ZIP Code: 63021-5492
Phone: (636) 345-4056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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