Individual
MRS. CHRISTINE ANNA BODENDIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCSW, LPC
Contact information
Practice address
129 IDLEWILD ST., KIRKWOOD, MO 63122
(314) 787-5100
(314) 787-5100
Mailing address
8631 DELMAR BLVD., ST LOUIS, MO 63124-1990
(314) 787-5100
(314) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
001500
MO
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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