Most Relevant Information
Provider Data
| NPI Number: | 1003175845 |
| Provider Name: | JACKLYN FLOYD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2012 |
| Last Updated: | 07/20/2016 |
Provider Practice Location
1430 OLIVE ST STE 500
SAINT LOUIS
MO
631032377
Practice Location Phone/Fax
| Phone: | 3147439666 |
| Fax: |
Provider Mailing Location
1430 OLIVE ST STE 400
SAINT LOUIS
MO
631032303
Provider Mailing Phone/Fax
| Phone: | 3147439666 |
| Fax: |