Individual
KENNEDY SHUFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12801 FLUSHING MEADOWS DR STE 100, SAINT LOUIS, MO 63131-1829
(314) 994-9344
Mailing address
720 E MAIN ST, GREENVILLE, IL 62246-1919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.025735
IL
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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