Family Support Network

NPI 1700911369 - Case Management - 251B00000X

NPI Details
NPI 1700911369
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUANITA JUANITA
Position FAMILY THERAPIST
Phone (314) 644-5055
Fax (314) 644-5057
Practice Location
7514 BIG BEND BLVD
SAINT LOUIS MO, 63119-2104, US
Phone (314) 644-5055
Fax (314) 644-5057
Business Location
570 SHACKELFORD RD
FLORISSANT MO, 63031-5457, US
Phone (314) 830-1796
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Missouri
License Number 2002006418
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According to our database, Family Support Network NPI is 1700911369, taxonomy code is 251B00000X and license number is 2002006418, license state is located at Missouri. Family Support Network physically located at 7514 Big Bend Blvd, Saint Louis MO, 63119-2104. NPI Number 1033115704 has the healthcare provider type.

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1700911369 NPI number is provided on an as is basis without warranty of any kind. 1700911369 is maintained by the National Plan & Provider Enumeration System. The contents of Family Support Network are for informational purposes only.