Individual
MARY BODE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLPC
Contact information
Practice address
105 E ASH ST, COLUMBIA, MO 65203-4094
(573) 777-7530
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024034566
MO
Other
Enumeration date
08/29/2024
Last updated
04/04/2025
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