Individual
MS. SHAWN STACEY HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2130 MCKELVEY HILL DR, MARYLAND HEIGHTS, MO 63043-4002
(314) 494-0074
Mailing address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(314) 344-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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