SearchMissouri1041C0700X

Robert Mccullough, MSW

NPI 1790958304 · on the registry since 2008 · sole proprietor

Practice

Address
209 Black Oak Dr
Saint Peters, MO 63376
Phone
(636) 219-6200
Fax
(800) 848-5681

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri