Jacqueline Sue Pudlowski, LCSW Valid NPI
Individual provider · Clinical Social Worker · O Fallon, MO
- NPI
- 1477220598
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2004006777 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-08-26
- Last updated
- 2021-08-26
Practice location
789 Thunder Hill Dr
O Fallon, MO 63368-4094
(314) 409-0021