Individual
SHANIQUE M BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6763 PAGE AVE, SAINT LOUIS, MO 63133-1635
(314) 747-7491
Mailing address
8612 MORA LN, SAINT LOUIS, MO 63147-1222
(314) 327-8198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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