Jacqueline Sue Pudlowski, LCSW

NPI #1477220598 in O Fallon, Missouri

Provider Information

NPI Number: 1477220598
Entity Type: Individual
Name: Jacqueline Sue Pudlowski, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 26, 2021
Last Updated: Aug 26, 2021

Practice Location

Address: 789 THUNDER HILL DR
City: O Fallon
State: Missouri
ZIP Code: 63368-4094
Phone: (314) 409-0021

Specialties & Taxonomy Codes

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

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