Gafford, Jennifer Sw

Gafford, Jennifer Sw is an individual health care provider with primary practice located at 401 Holly Hills Ave , Saint Louis MO 63111-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gafford, Jennifer Sw can be contacted via phone (314) 353-5190.

Contact Information

Primary practice address
401 Holly Hills Ave Saint Louis MO 63111-2410
Phone: (314) 353-5190
Fax: (314) 353-7631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2001031420 Missouri

Profile Details

NPI number 1942259809
LBN Legal business name Gafford, Jennifer Sw
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 25th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942259809 NPPES
Missouri MEDICAID 496072703

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