Individual
AMANDA BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10024 OFFICE CENTER AVE, STE 100, SAINT LOUIS, MO 63128-1381
(314) 729-7050
(314) 729-0920
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013000465
MO
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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