Individual
SAMANTHA C SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, M.ED.
Contact information
Practice address
1881 PINE ST, SAINT LOUIS, MO 63103-2264
(314) 533-0975
Mailing address
1881 PINE ST, SAINT LOUIS, MO 63103-2264
(314) 533-0975
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022035403
MO
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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