Individual
CECILIA BODET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5605 LANSDOWNE AVE, SAINT LOUIS, MO 63109-1527
(314) 402-9864
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2015040556
MO
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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