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Organization
SHANTI SOURCE COUNSELING LLC
Active
Organization
SHANTI SOURCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HALLER LCSW (OWNER)
(314) 202-6867
Entity
Organization
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(314) 202-6867
Mailing address
2183 WIDE OAK CT, CHESTERFIELD, MO 63017-7226
(314) 541-1198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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