Individual
CYDNI CHANTAE SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9715 OLIVE BLVD, SAINT LOUIS, MO 63132-3004
(314) 648-1539
Mailing address
9715 OLIVE BLVD, SAINT LOUIS, MO 63132-3004
(314) 648-1539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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