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Individual

MR. ROBERT MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
209 BLACK OAK DR, SAINT PETERS, MO 63376-1740
(636) 219-6200
(800) 848-5681
Mailing address
209 BLACK OAK DR, SAINT PETERS, MO 63376-1740
(636) 219-6200
(800) 848-5681

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005292
MO

Other

Enumeration date
04/04/2008
Last updated
04/04/2008
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