MRS. Judith Cunningham Fuller, M.S.W., L.C.S.W.
NPI #1346447562 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1346447562
- Entity Type
- Individual
- Name
- MRS. Judith Cunningham Fuller, M.S.W., L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- M.S.W., L.C.S.W.
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10845 OLIVE BLVD
- Address 2
- SUITE 100
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7760
- Phone
- (314) 872-3132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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