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Jama Gay Anthony-Petter, L.C.S.W.

Social Worker, Clinical in Saint Louis, MO. Individual provider (NPI-1).

NPI number1265637243
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1265637243
Entity type
Individual (NPI-1)
Name
Jama Gay Anthony-Petter
Credential
L.C.S.W.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW001334MOYes

Practice location

11222 Tesson Ferry Rd
Suite 200
Saint Louis, MO 63123-6963

Phone 314-971-3051 · Fax 314-822-7562

Mailing address

859 Sherilin Dr
Kirkwood, MO 63122-2324

Phone 314-971-3051 · Fax 314-822-7562

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