Childerson, Jennifer

Childerson, Jennifer is an individual health care provider with primary practice located at 5601 State St , East Saint Louis IL 62203-1346. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Childerson, Jennifer can be contacted via phone (618) 213-3170.

Contact Information

Primary practice address
5601 State St East Saint Louis IL 62203-1346
Phone: (618) 213-3170
Fax: (618) 213-3171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1326448952
LBN Legal business name Childerson, Jennifer
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2014
Last updated Sep 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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