Individual
MR. PERRY DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
91 CENTRE POINTE DR, SAINT PETERS, MO 63304-8579
(314) 814-4111
(636) 928-3524
Mailing address
91 CENTRE POINTE DR, SAINT PETERS, MO 63304-8579
(314) 814-4111
(636) 928-3524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005038693
MO
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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