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Contact Information

JENNA NELSON
12303 DEPAUL DR
SAINT LOUIS, MO63044
 Phone: 314-344-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JENNA NELSON · (Female)

NPI # 1750691689
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2010
Last updated 09/07/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2007027738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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