Individual
MR. ROBERT VINCENT SHEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
Mailing address
4033 BREAKWATER DR, PORTSMOUTH, VA 23703-5321
(757) 483-8846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001711
VA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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