Individual
ADAM GODEFROID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCM
Contact information
Practice address
6139 MAGNOLIA AVE, SAINT LOUIS, MO 63139-2749
(314) 541-9575
Mailing address
6139 MAGNOLIA AVE, SAINT LOUIS, MO 63139-2749
(314) 541-9575
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2015032529
MO
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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