Individual
CYNTHIA SUSAN ROHLFING DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2814 SUTTON BLVD, MAPLEWOOD, MO 63143-3010
(314) 440-5783
(314) 781-7914
Mailing address
1100 TERRACE DR, SAINT LOUIS, MO 63117-1335
(314) 440-5783
(314) 781-7914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004009
MO
101YP2500X
Professional Counselor
004009
MO
104100000X
Social Worker
004009
MO
1041C0700X
Clinical Social Worker
Primary
004009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427226612
OPTUM
MO
05
—
1427226612
—
MO
Enumeration date
01/10/2020
Last updated
08/03/2020
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