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Contact Information

CHRISTINE A BODENDIECK, MA, LCSW, LPC
129 IDLEWILD ST.
KIRKWOOD, MO63122
 Phone: 314-787-5100
 Fax: 314-787-5100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for CHRISTINE A BODENDIECK · (Female)

NPI Number 1427081207
Status Active
Credentials MA, LCSW, LPC
Entity Individual
Enumeration date 07/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 001500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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