Individual
NICOLE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
301 SOVEREIGN CT STE 115, BALLWIN, MO 63011-4435
(636) 234-3052
Mailing address
301 SOVEREIGN CT STE 115, BALLWIN, MO 63011-4435
(636) 234-3052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016044091
MO
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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