Individual
MS. SHANNON CHRISTINE PULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 S KIRKWOOD RD STE 200, SAINT LOUIS, MO 63122-6195
(314) 206-3400
Mailing address
343 S KIRKWOOD RD STE 200, SAINT LOUIS, MO 63122-6195
(314) 206-3400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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