Individual
DANIELLE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(314) 267-8646
Mailing address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
LC001425019
MO
Other
Enumeration date
07/28/2015
Last updated
09/04/2015
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