Individual
CRISTINA COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1902 ARSENAL ST STE 240, SAINT LOUIS, MO 63118-2338
(314) 649-8458
Mailing address
3015 WISCONSIN AVE, SAINT LOUIS, MO 63118-1601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017014250
MO
Other
Enumeration date
09/20/2017
Last updated
07/10/2020
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