Judith Cunningham Fuller M.S.W., L.C.S.W.

NPI 1346447562 - Social Worker - 1041C0700X

NPI Details
NPI 1346447562
Gender Female
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10845 OLIVE BLVD
SUITE 100
CREVE COEUR MO, 63141-7760, US
Phone (314) 872-3132
Fax (314) 872-3965
Business Location
10845 OLIVE BLVD
SUITE 100
CREVE COEUR MO, 63141-7760, US
Phone (314) 872-3132
Fax (314) 872-3965
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number 001679
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According to our database, Mrs. Judith Cunningham Fuller M.S.W., L.C.S.W. NPI is 1346447562, taxonomy code is 1041C0700X and license number is 001679, license state is located at Missouri. Judith Cunningham Fuller M.S.W., L.C.S.W. physically located at 10845 Olive Blvd, Creve Coeur MO, 63141-7760. NPI Number Judith Cunningham Fuller M.S.W., L.C.S.W. has the Individual type.

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1346447562 NPI number is provided on an as is basis without warranty of any kind. 1346447562 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Cunningham Fuller M.S.W., L.C.S.W. are for informational purposes only.