Provider Information for 1174790554
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CHERIE SWINGLER CSW
Sex: Female
NPI: 1174790554
Last Updated: 2008-05-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174790554 | ||||||||
| Enumeration Date | 2008-05-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3738 CHOUTEAU AVE SUITE 200 SAINT LOUIS, MO 63110-2546 United States Phone: 314-772-8801 | Fax:314-772-7988 | ||||||||
| Primary Practice Address | 3738 CHOUTEAU AVE SUITE 200 SAINT LOUIS, MO 63110-2546 United States Phone: 314-772-8801 | Fax:314-772-7988 | ||||||||
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