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Individual

MRS. ANDREA R. BOHANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.C.

Contact information

Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119
(314) 919-4700
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4700

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
L204052020
MO

Other

Enumeration date
10/22/2007
Last updated
06/21/2018
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