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1346447562
JUDITH CUNNINGHAM FULLER
CREVE COEUR, MO
NPI
1346447562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 001679)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mrs. JUDITH CUNNINGHAM FULLER m.s.w., l.c.s.w.
10845 OLIVE BLVD SUITE 100
CREVE COEUR, MO 63141-7760
Phone number: 314-872-3132
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Mailing Address
Mrs. JUDITH CUNNINGHAM FULLER m.s.w., l.c.s.w.
10845 OLIVE BLVD SUITE 100
CREVE COEUR, MO 63141-7760
Phone number: 314-872-3132
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