Individual
DANIEL SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA, MSW, LCSW, PMP
Contact information
Practice address
1 GRANT RD, SAINT LOUIS, MO 63125-4117
(314) 527-8280
Mailing address
1300 BIG BEND RD APT 549, BALLWIN, MO 63021-7837
(816) 665-1267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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