Provider Demographics
NPI:1962641662
Name:LUSTER, SHARHON DENEEN
Entity Type:Individual
Prefix:MS
First Name:SHARHON
Middle Name:DENEEN
Last Name:LUSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 SANTIAGO DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-2616
Mailing Address - Country:US
Mailing Address - Phone:314-838-5548
Mailing Address - Fax:314-838-5548
Practice Address - Street 1:2999 SANTIAGO DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-2616
Practice Address - Country:US
Practice Address - Phone:314-838-5548
Practice Address - Fax:314-838-5548
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker