Most Relevant Information
Provider Data
| NPI Number: | 1003352865 |
| Provider Name: | VICTORIA CULLEN MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2016043701 |
Most Important Dates
| Enumeration Date: | 01/17/2017 |
| Last Updated: | 07/10/2019 |
Provider Practice Location
40B EDWARDSVILLE PROF PARK
EDWARDSVILLE
IL
620253602
Practice Location Phone/Fax
| Phone: | 6182482040 |
| Fax: | 6182482040 |
Provider Mailing Location
PO BOX 101
EDWARDSVILLE
IL
620250101
Provider Mailing Phone/Fax
| Phone: | 6182482040 |
| Fax: | 6182482040 |