Individual
SHAKIDREA WILLIAMS-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 WASHINGTON AVE STE 304, SAINT LOUIS, MO 63103-1913
(314) 405-8884
(314) 376-4580
Mailing address
1409 WASHINGTON AVE STE 304, SAINT LOUIS, MO 63103-1913
(314) 405-8884
(314) 376-4580
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770953556
—
MO
Enumeration date
07/11/2019
Last updated
07/11/2019
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