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Individual

CHRISTIAN SHIELDS CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, CFSW

Contact information

Practice address
8045 BIG BEND BLVD STE 101&109, SAINT LOUIS, MO 63119-2709
(314) 800-0311
Mailing address
8045 BIG BEND BLVD STE 101&109, SAINT LOUIS, MO 63119-2709
(314) 458-7915

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022007612
MO
1041C0700X
Clinical Social Worker
2022007612
MO

Other

Enumeration date
05/26/2022
Last updated
06/21/2022
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