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JERRY TABAK, LCSW

LCSW

Clinical Social Worker

NPI: 1114276342Individual

Specialties, Licenses & Credentials

Social Worker — Clinical

Code: 1041C0700X

002217(MO)

Contact & Hours

Address
109 CHURCH ST, SUITE 105
O FALLON, MO 63366

Quick Facts

NPI
1114276342
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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