Individual
DANIELLE RACHEL MONDLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3501 BERRYWOOD DR, COLUMBIA, MO 65201-6584
(844) 853-8937
Mailing address
3909 GALLANT FOX DR, COLUMBIA, MO 65202-4831
(573) 855-7103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018026061
MO
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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